Summary
Congenital ear anomalies have been known to cause lasting psychosocial consequences for children. Congenital ear anomalies can generally be divided into malformations (chondro-cutaneous defect) and deformations (misshaped pinna). Operative techniques are the standard for correction at a minimal age of 5–7, exposing the children to teasing and heavy complications. Ear molding is a non-operative technique to treat ear anomalies at a younger age. Having been popularized since the 1980s, its use has increased over the past decades. However, uncertainties about its properties remain. Therefore, this review was conducted to look at what is known and what has been newly discovered in the last decade, comparing different treatment methods and materials. A literature search was performed on PubMed, and 16 articles, published in the last decade, were included. It was found that treatment initiated at an early age showed higher satisfactory outcome rates and a shorter duration of treatment. A shorter duration of treatment also led to higher satisfactory rates, which might be attributable to age at initiation, individual moldability, and treatment compliance. Complications were minor in all articles. Recurrence rate was low and mostly concerned prominent ears, which proved to be the most difficult to correct deformity as well. Malformations, however, were even more difficult to treat than deformations. Our analysis shows ear molding to be a successful treatment method for ear anomalies with a preference for early diagnosis and treatment.
Transposing a pedicled fat pad from the central compartment laterally has proven to be an effective technique for achieving predictable upper lateral eyelid fullness and thus achieving a long-lasting, more youthful appearance.
ANDSINCE the first report of a case of polycythaemia cured by the removal of uterine fibroids (Thomson and Marson, 1953) twelve other cases have been described (Horwitz and Between 1939 and 1967 five cases of polycythaemia associated with uterine fibroids have been seen at the Radcliffe Infirmary, Oxford. Of these five patients, the polycythaemia was diagnosed as being primary in three, and secondary in two. We use the term secondary polycythaemia to mean an increase in the red cell mass without changes in the white cells or platelets in the absence of splenomegaly. In the two cases of secondary polycythaemia total hysterectomy and bilateral salpingo-oophorectomy were associated with a remission of the polycythaemia. The first patient has been followed up for eleven years and the second for a period of eighteen months.Erythropoietin assays were carried out on the plasma, urine and tumour extracts in the second case but no erythropoietin activity was detected.
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