Background: Ear deformities in neonatal patients can have a significant impact on auricular appearance later in life, occasionally requiring surgical intervention. Ear splinting has emerged as a non-invasive and effective method to correct these deformities and minimize the need for future surgical procedures. However, the existing techniques and devices available on the market can be costly or cause anxiety among parents, such as the use of pediatric feeding tubes with inserted wires.
Methods: In our nurse-led service at Christchurch, we have adopted a technique using duoDERM, as described by Manjit et al.1, for the treatment of neonatal ear deformities. duoDERM, a moldable and customizable material, offers an inexpensive and easily teachable approach to ear splinting. The process involves rolling duoDERM into a tube, shaping the ear as desired, and securing it in place using a combination of steristrips and simple tape. We have established a standard follow-up protocol at weeks 1, 2, 5, and 6, providing the option for both in-person and virtual reviews. Regular photo documentation is employed to track the progress of each patient.
Results: Referrals primarily originate from neonatal hearing screening programs, with additional referrals received from general practitioners and maternity wards. Our primary goal is to initiate treatment as early as possible, ideally within the first week of life. We will present a series of case studies featuring pre-, during-, and post-molding images of three patients who have undergone this technique.
Conclusions: By employing the duoDERM technique for ear splinting, we aim to provide a cost-effective, customizable, and easily teachable approach that minimizes parental anxiety while achieving desirable outcomes for neonatal ear deformities.