• Fitting Instructions for treating Stick-Out Ears

    • Your pack contains two splints - one for each ear; there is no need to fit a splint to both ears if only one is misshapen or sticks out.
    • The splints should be manipulated to the required shape. The splints need to fit snugly inside the helical rim, so checking and adapting the shape of each splint to fit the scaphal hollow of your baby's ears is essential.


    See Figure A - Apply the splint to the scaphal hollow (A1), inside the rim (helix) (A2) of the ear, starting just above the triangular fossa (A3), and working backwards. Hold the splint in position.


    See Figure B - Remove one narrow tape strip from its backing. Starting from the back of the ear at the middle of its curve (position B1), stick it down over the skin and the splint so that the rim of the ear is rolled over the splint. Affix three more pieces of narrow tape in the same way in positions B2, B3 and B4.

    When the splint is held in place with the narrow tapes, it is often possible to gently manipulate the ear and the splint together, to refine the shape. Once the splint is in position, and the ear taped back against the side of the head (step 6), the splint will reshape the antihelix and maintain the curve of the helical rim.


    Step 6 - Use Wide or SuperWide tape to hold the ear to the side of the head

    1. Open the pack containing the Wide or SuperWide adhesive tapes.
    2. If using the SuperWide Tapes, you may wish to shorten them by up to 3 cm. Although shortening the tapes will give less adhesion, it will make them less conspicuous. You may be able to cut the excess tape ends into narrow tapes to hold the splint in place next time you change the tapes.

    3. Rounding the tape ends with scissors before you remove them from their backing and apply them can help to prevent the edges from lifting and improve their appearance.

    4.   Use one Wide or SuperWide tape to hold the splinted ear firmly to the side of the head as shown in the picture below. Use Wide tape if your baby is under 1 month of age. Use SuperWide tape if your baby is older than this, because the cartilage is stiffer and the ears are larger. The greater surface area of SuperWide tape also helps the tapes to stay in place as older babies have greasier skin, sweat more and are more active.

    5.   If you are using SuperWide tape, you might find it helpful to put an additional strip of Wide tape at the top of the ear to close off the groove between the ear and the side of the head (as shown in the picture) to discourage any ear tugging, for example, during teething.

    6.   Do not apply the adhesive tapes under tension or stretched; excessive tension may cause the delicate skin to shear or blister.

    See examples below of fitting EarBuddies™ to treat Stick-Out Ear.

  • Fitting Instructions for treating a Stahl's Bar

    • Your pack contains two splints - one for each ear; there is no need to fit a splint to both ears if only one is misshapen or sticks out.
    • The splints should be manipulated to the required shape. The splints need to fit snugly inside the helical rim, so checking and adapting the shape of each splint to fit the scaphal hollow of your baby's ears is essential.

     


    See Figure A - Apply the splint to the scaphal hollow (A1), inside the rim (helix) (A2) of the ear, starting just above the triangular fossa (A3), and working backwards. Hold the splint in position.


    See Figure B - Remove one narrow tape strip from its backing. Starting from the back of the ear at the middle of its curve (position B1), stick it down over the skin and the splint so that the rim of the ear is rolled over the splint. Affix several more pieces of narrow tape in the same way in positions B2, B3 and B4 as above.

    When the splint is held in place with the narrow tapes, it is often possible to gently manipulate the ear and the splint together, to refine the shape. Once the splint is in position, and the ear taped back against the side of the head (step 6), the splint will reshape the antihelix and maintain the curve of the helical rim.


    Step 6 - Use Wide or SuperWide tape to hold the ear to the side of the head

    1. Open the pack containing the Wide or SuperWide adhesive tapes.
    2. If using the SuperWide Tapes, you may wish to shorten them by up to 3 cm. Although shortening the tapes will give less adhesion, it will make them less conspicuous. You may be able to cut the excess tape ends into narrow tapes to hold the splint in place next time you change the tapes.

    3. Rounding the tape ends with scissors before you remove them from their backing and apply them can help to prevent the edges from lifting and improve their appearance.

    4.   Use one Wide or SuperWide tape to hold the splinted ear firmly to the side of the head as shown in the picture below. Use Wide tape if your baby is under 1 month of age. Use SuperWide tape if your baby is older than this, because the cartilage is stiffer and the ears are larger. The greater surface area of SuperWide tape also helps the tapes to stay in place as older babies have greasier skin, sweat more and are more active. Ensure the Stahl’s Bar is entirely beneath the Wide or SuperWide tape in order to provide sufficient pressure on the splint to ‘push out’ the deformity.

    5.   If you are using SuperWide tape, you might find it helpful to put an additional strip of Wide tape at the top of the ear to close off the groove between the ear and the side of the head (as shown in the picture) to discourage any ear tugging, for example, during teething.

    6.   Do not apply the adhesive tapes under tension or stretched; excessive tension may cause the delicate skin to shear or blister.

    See examples below of fitting EarBuddies™ to treat Stahl's Bar.

  • Fitting Instructions for treating a Cup Ear

    In a cup ear, the rim tissue is constricted (too tight) and will not allow the ear to sit back against the side of the head. You are aiming to gently stretch the cartilage over the course of the splintage period. Extra persistence is usually required and it is particularly useful to have a helper and to start splintage as early as possible. Hold the splint in position.

    • Your pack contains two splints - one for each ear; there is no need to fit a splint to both ears if only one is misshapen or sticks out.
    • The splints should be manipulated to the required shape. The splints need to fit snugly inside the helical rim, so checking and adapting the shape of each splint to fit the scaphal hollow of your baby's ears is essential. When correcting Cup Ear, it is important to shape the splint to mould the ear into a normal shape, and not just to follow the existing curvature of the Cup Ear.
    • Do your best to push the splint up under the rim to expand and stretch the ear a little more each time you change the tapes.

    We would recommend adjusting the position of the splint and re-taping more frequently to treat Cup Ear in comparison to other conditions. Weekly adjustments to the position of the splint will increase the rate of improvement (although you will consume more tape supplies, so order in advance if you are running low). The ear’s shape should improve throughout the splintage period. While the first application may be tricky, subsequent insertions of the splint should be easier as the shape of the ear slowly improves.


    See Figure A - Apply the splint to the scaphal hollow (A1), inside the rim (helix) (A2) of the ear, starting just above the triangular fossa (A3), and working backwards. Hold the splint in position.


    See Figure B - Remove one narrow tape strip from its backing. Starting from the back of the ear at the middle of its curve (position B1), stick it down over the skin and the splint so that the rim of the ear is rolled over the splint. Affix several more pieces of narrow tape in the same way in positions B2, B3 and B4 as above.

    When the splint is held in place with the narrow tapes, it is often possible to gently manipulate the ear and the splint together, to refine the shape. Once the splint is in position, and the ear taped back against the side of the head (step 6), the splint will reshape the antihelix and maintain the curve of the helical rim.


    Step 6 - Use SuperWide tape to hold the ear to the side of the head.

    1. When treating Cup Ear, SuperWide tape is always preferable, regardless of the age of the baby, as it is better able to stretch the cartilage to a normal position. The greater surface area of SuperWide tape also helps the tapes to stay in place in older babies, who have greasier skin, sweat more and are more active.

    2. Open the pack containing the SuperWide adhesive tapes.

    3. You may wish to shorten the SuperWide tapes by up to 3 cm. Although shortening the tapes will give less adhesion, it will make them less conspicuous. You may be able to cut the excess tape ends into narrow tapes to hold the splint in place next time you change the tapes.

    4. Rounding the tape ends with scissors before you remove them from their backing and apply them can help to prevent the edges from lifting and improve their appearance.

    5. Use one SuperWide tape to hold the upper pole of the splinted ear firmly to the side of the head as shown in the picture below.

    6.   If your baby is older than 1 month, you might find it helpful to put an additional strip of Wide tape at the top of the ear to close off the groove between the ear and the side of the head to discourage any ear tugging, for example, during teething.

    7.   Do not apply the adhesive tapes under tension or stretched; excessive tension may cause the delicate skin to shear or blister.

    See examples below of fitting EarBuddies™ to treat Cup Ear.

  • Fitting Instructions for treating Cryptotia

    • For at least 1 day before the splints are fitted, regularly manipulate the upper pole of the ear to release the hidden part from the head. By pulling the tethered part away from the side of the head with your fingers, gently but firmly, fibrous connections are broken and the skin is slowly stretched. With each manipulation, the hidden upper pole of the ear will become progressively more apparent, giving the ear a better shape. There is no fixed rule for how often or how long to do this for, but as a guide, you could manipulate the ear once per hour for every hour that baby is awake, for approximately 30 seconds at a time.
    • Your pack contains two splints - one for each ear; there is no need to fit a splint to both ears if only one is misshapen.
    • The splints should be manipulated to the required shape. The splints need to fit snugly into the post-auricular groove (the gap between the ear and the side of the head that is present in a normal ear), so checking and adapting the shape of each splint to fit your baby’s ears is essential. When splinting to treat cryptotia, the role of the splint is both to prevent the upper pole of the ear from retreating beneath the skin of the scalp and to deepen the post-auricular groove, so that the correction becomes permanent.
    • When you are ready to fit the splint, pull firmly at the cartilage framework of the upper pole of the ear to release the hidden part that is tethered to the side of the head. Insert the splint into the post-auricular groove.
    • Use Wide Tape to hold the splint in position in the post-auricular groove (above and behind the upper pole of the ear). You can place Narrow Tapes across the ends of the Wide Tapes to help prevent the tapes ends from lifting.
    • Adjust the position of the splint regularly (we suggest approximately every 72 hours) to increase the depth of the post-auricular groove. At each adjustment, before you refit the splint, repeat the manipulation as before, to further release the tethered part. Then pull the upper pole of the ear out from the side of the head and push the splint further into the post-auricular groove, then tape in position.
    • Do not apply the adhesive tapes under excessive tension; too much tension may cause the delicate skin to shear or blister.

    Images are drawn and supplied by David Gault FRCS at EAR (Ear Aesthetics & Reconstruction). Images adapted by EarBuddies™.

    • Rounding the tape ends with scissors before you remove them from their backing and apply them can help to prevent the edges from lifting and improve their appearance.

    (There is no Step 6 when fitting EarBuddies™ to treat Cryptotia - proceed to Step 7.)

  • Fitting Instructions for treating a Lop Ear

    To treat Lop Ear, lift up the lopped-over section and use the splint to hold the ear in a ’normal’ shape. When treating Lop Ear, you may find an extra pair of hands especially useful. Hold the splint in position.
    • Your pack contains two splints - one for each ear; there is no need to fit a splint to both ears if only one is misshapen or sticks out.
    • The splints should be manipulated to the required shape. The splints need to fit snugly inside the helical rim, so checking and adapting the shape of each splint to fit the scaphal hollow of your baby’s ears is essential.

     


    See Figure A - Hold the lower end of the splint. The splint should be used to lift up the lopped-over part of the ear and hold the ear in a ’normal’ shape, in preparation for applying the narrow tapes. The splint will sit in the scaphal hollow (A1), inside the rim (helix) (A2) of the ear, beginning just above the triangular fossa (A3). Hold the splint in position.


    See Figure B - Remove one narrow tape strip from its backing. Apply the first tape to the bottom of the splint (position B4) to hold the splint in the correct position. Starting from the back of the ear, stick the tape over the skin and the splint. Apply the second tape in position B3 to further secure the splint. Affix the third piece of narrow tape in the same way in position B2. Finally, affix one more piece of tape in position(s) B1 - stick the narrow tape down over the skin and the splint so that the rim of the ear is rolled over the splint (you can apply more than one narrow tape to this part of the ear if you wish).

    The diagrams below explains this process step by step:

    Images are drawn and supplied by David Gault FRCS at EAR (Ear Aesthetics & Reconstruction). Images adapted by EarBuddies.


    Lop Ear before splintage.


    Use the splint to lift up the lopped-over part of the ear.


    Hold splint in place.


    Apply the first tape in position B4 to hold the splint in place.


    Apply the second tape in position B3 to further secure the splint.


    Apply the third tape in position B2 to hold the top of the splint in place.


    Apply the fourth tape in position B1 - you can apply additional narrow tapes if you wish.


    Lop Ear after splintage.

    When the splint is held in place with the narrow tapes, it is often possible to gently manipulate the ear and the splint together, to refine the shape. Once the splint is in position, and the ear taped back against the side of the head (step 6), the splint will reshape the antihelix and maintain the curve of the helical rim.


    Step 6 - Use Wide or SuperWide tape to hold the ear to the side of the head

    1. Open the pack containing the Wide or SuperWide adhesive tapes.
    2. If using the SuperWide Tapes, you may wish to shorten them by up to 3 cm. Although shortening the tapes will give less adhesion, it will make them less conspicuous. You may be able to cut the excess tape ends into narrow tapes to hold the splint in place next time you change the tapes.

    3. Rounding the tape ends with scissors before you remove them from their backing and apply them can help to prevent the edges from lifting and improve their appearance.

    4.   Use one Wide or SuperWide tape to hold the splinted ear firmly to the side of the head as shown in the picture below. Use Wide tape if your baby is under 1 month of age. Use SuperWide tape if your baby is older than this, because the cartilage is stiffer and the ears are larger. The greater surface area of SuperWide tape also helps the tapes to stay in place as older babies have greasier skin, sweat more and are more active.

    5.   If you are using SuperWide tape, you might find it helpful to put an additional strip of Wide tape at the top of the ear to close off the groove between the ear and the side of the head (as shown in the picture) to discourage any ear tugging, for example, during teething.

    6.   Do not apply the adhesive tapes under tension or stretched; excessive tension may cause the delicate skin to shear or blister.

    See examples below of fitting EarBuddies™ to treat Lop Ear.

  • Fitting Instructions for treating a Rim Kink

    • Your pack contains two splints - one for each ear; there is no need to fit a splint to both ears if only one is misshapen or sticks out.
    • The splints should be manipulated to the required shape. The splints need to fit snugly inside the helical rim, so checking and adapting the shape of each splint to fit the scaphal hollow of your baby's ears is essential.



    See Figure A - Apply the splint to the scaphal hollow (A1), inside the rim (helix) (A2) of the ear, starting just above the triangular fossa (A3), and working backwards. Use the splint to push the Rim Kink up and out. Hold the splint in position before fixing in place.


    See Figure B - Remove one narrow tape strip from its backing. Starting from the back of the ear at the middle of its curve (position B1), stick it down over the skin and the splint so that the rim of the ear is rolled over the splint. Affix three more pieces of narrow tape in the same way in positions B2, B3 and B4.

    When the splint is held in place with the narrow tapes, it is often possible to gently manipulate the ear and the splint together, to refine the shape. Once the splint is in position, and the ear taped back against the side of the head (step 6), the splint will reshape the antihelix and maintain the curve of the helical rim.


    Step 6 - Use Wide or SuperWide tape to hold the ear to the side of the head

    1. Open the pack containing the Wide or SuperWide adhesive tapes.
    2. If using the SuperWide Tapes, you may wish to shorten them by up to 3 cm. Although shortening the tapes will give less adhesion, it will make them less conspicuous. You may be able to cut the excess tape ends into narrow tapes to hold the splint in place next time you change the tapes.

    3. Rounding the tape ends with scissors before you remove them from their backing and apply them can help to prevent the edges from lifting and improve their appearance.

    4.   Use one Wide or SuperWide tape to hold the splinted ear firmly to the side of the head as shown in the picture below. Use Wide tape if your baby is under 1 month of age. Use SuperWide tape if your baby is older than this, because the cartilage is stiffer and the ears are larger. The greater surface area of SuperWide tape also helps the tapes to stay in place as older babies have greasier skin, sweat more and are more active.

    5.   If you are using SuperWide tape, you might find it helpful to put an additional strip of Wide tape at the top of the ear to close off the groove between the ear and the side of the head (as shown in the picture) to discourage any ear tugging, for example, during teething.

    6.   Do not apply the adhesive tapes under tension or stretched; excessive tension may cause the delicate skin to shear or blister.

    See examples below of fitting EarBuddies™ to treat Rim Kink.

  • Fitting Instructions for treating a Fold-Over Helical Rim

    • Your pack contains two splints - one for each ear; there is no need to fit a splint to both ears if only one is misshapen or sticks out.
    • The splints should be manipulated to the required shape. The splints need to fit snugly inside the helical rim, so checking and adapting the shape of each splint to fit the scaphal hollow of your baby's ears is essential.



    See Figure A - Apply the splint to the scaphal hollow (A1), inside the rim (helix) (A2) of the ear, starting just above the triangular fossa (A3), and working backwards. Use the splint to push the folded-over rim up and out so that it forms a smooth curve. Hold the splint in position.


    See Figure B - Remove one narrow tape strip from its backing. Starting from the back of the ear at the middle of its curve (position B1), stick it down over the skin and the splint so that the rim of the ear is rolled over the splint. Affix three more pieces of narrow tape in the same way in positions B2, B3 and B4.

    When the splint is held in place with the narrow tapes, it is often possible to gently manipulate the ear and the splint together, to refine the shape. Once the splint is in position, and the ear taped back against the side of the head (step 6), the splint will reshape the antihelix and maintain the curve of the helical rim.

    In some cases, the folded-over rim is fused and there is no separation between the two leaves of cartilage, closing out the scaphal hollow. Do your best to push the splint between the leaves of cartilage to create a recess and open out the scaphal hollow. In such instances, if you are struggling to make sufficient improvements after a week or two, it would be prudent to consult an EarBuddies™ Professional.



    Step 6 - Use Wide or SuperWide tape to hold the ear to the side of the head

    1. Open the pack containing the Wide or SuperWide adhesive tapes.
    2. If using the SuperWide Tapes, you may wish to shorten them by up to 3 cm. Although shortening the tapes will give less adhesion, it will make them less conspicuous. You may be able to cut the excess tape ends into narrow tapes to hold the splint in place next time you change the tapes.

    3. Rounding the tape ends with scissors before you remove them from their backing and apply them can help to prevent the edges from lifting and improve their appearance.

    4.   Use one Wide or SuperWide tape to hold the splinted ear firmly to the side of the head as shown in the picture below. Use Wide tape if your baby is under 1 month of age. Use SuperWide tape if your baby is older than this, because the cartilage is stiffer and the ears are larger. The greater surface area of SuperWide tape also helps the tapes to stay in place as older babies have greasier skin, sweat more and are more active.

    5.   If you are using SuperWide tape, you might find it helpful to put an additional strip of Wide tape at the top of the ear to close off the groove between the ear and the side of the head (as shown in the picture) to discourage any ear tugging, for example, during teething.

    6.   Do not apply the adhesive tapes under tension or stretched; excessive tension may cause the delicate skin to shear or blister.

    See examples below of fitting EarBuddies™ to treat Folded-Over Helical Rim.

  • Fitting Instructions for treating a Stick-Out Lobe

    • Your pack contains two splints - one for each ear; there is no need to fit a splint to both ears if only one is misshapen or sticks out.
    • The splints should be manipulated to the required shape. The splints need to fit snugly inside the helical rim, so checking and adapting the shape of each splint to fit the scaphal hollow of your baby's ears is essential.

     


    See Figure A - Apply the splint to the scaphal hollow (A1), inside the rim (helix) (A2) of the ear. Ensure that the bottom of the splint holds the lobe in the correct position; the splint does not need to cover the whole of the lobe to effect a good correction, only the cartilage framework. This should still leave enough of the splint around the rim and upper part to also correct any prominence of the upper part of the ear. Hold the splint in position.


    See Figure B - Remove one narrow tape strip from its backing. Starting from the back of the ear at the middle of its curve (position B1), stick it down over the skin and the splint so that the rim of the ear is rolled over the splint. Apply the second tape in position B3 - starting from the back of the ear, stick the tape over the skin and the splint. Affix another tape in position B4 in the same way. You can apply further narrow tapes along the length of the splint to hold the splint in place if you wish.


    When the splint is held in place with the narrow tapes, grasp the central portion of the ear between your finger and thumb, and gently push the splinted earlobe inwards to exaggerate the correction.


    Step 6 - Use Wide or SuperWide tape to hold the ear to the side of the head.

    1. Open the pack containing the Wide or SuperWide adhesive tapes.
    2. If using the SuperWide Tapes, you may wish to shorten them by up to 3 cm. Although shortening the tapes will give less adhesion, it will make them less conspicuous. You may be able to cut the excess tape ends into narrow tapes to hold the splint in place next time you change the tapes.

    3. Rounding the tape ends with scissors before you remove them from their backing and apply them can help to prevent the edges from lifting and improve their appearance.

    4.   Use one Wide or SuperWide tape to hold the Upper Pole of the ear firmly to the side of the head as shown in the picture. Use another strip of Wide or SuperWide tape to hold the splinted lobe in position against the side of the head. Use Wide tape if your baby is under 1 month of age. Use SuperWide tape if your baby is older than this, because the cartilage is stiffer and the ears are larger. The greater surface area of SuperWide tape also helps the tapes to stay in place as older babies have greasier skin, sweat more and are more active.

    5.   If your baby is older than 1 month, you might find it helpful to put an additional strip of Wide tape at the top of the ear to close off the groove between the ear and the side of the head (as shown in the picture) to discourage any ear tugging, for example, during teething.

    6.   Do not apply the adhesive tapes under tension or stretched; excessive tension may cause the delicate skin to shear or blister.

    See examples below of fitting EarBuddies™ to treat Stick-Out Lobe.

  • Fitting Instructions for treating Conchal Crus

    When fitting for Conchal Crus you may also need small, clean cotton wool balls.

    We would always recommend that fitting EarBuddies to treat Conchal Crus is carried out by a Professional Fitter, but in line with our founding principle that EarBuddies should be available to all, we have provided fitting instructions here nonetheless.

     

    Conchal Crus presents in various different ways, and often appears in conjunction with other conditions. In fitting to treat Conchal Crus, the main objective is to manipulate the splint to comfortably fit baby's conchal bowl, so that when pressure is applied to the splint by the adhesive tape, the crus or bulge is pushed in.

    Manipulate the splint into a heart shape, to fit baby’s conchal bowl, and position the splint in place. Before you apply the wide tapes, you can check that you have correctly manipulated the splint by applying light pressure to the splint with your finger, in the same way that the adhesive tapes will; if this appears to temporarily correct the problem whilst you hold your finger in place, then this is the correction that will be permanently made once the splintage period is complete.

    If light pressure with your thumb does not give the desired result, then make further adjustments to the splint.

    If necessary, in order to deepen the conchal bowl, two splints can be taped together using narrow tape. Alternatively, a small, clean cotton wool ball can also be added to exert additional pressure on the splint - ensure this cotton wool exerts pressure on the Conchal Bowl ONLY, and not on the other cartilage folds of the ear (see picture).

    If other deformities are also present, such as a Rim Kink or Folded Over Helical Rim, please see their separate fitting instructions and splint these conditions accordingly at the same time as the Conchal Crus. Please note you may need to buy additional splints to treat unusual combination deformities.

    When you change the tapes, reassess the shape of the splint. As the shape of the conchal bowl changes, and baby’s ear naturally grows, you may need to slightly expand the heart-shaped splint accordingly.

    WARNING - DO NOT to let the splint enter the ear canal. Curl the end of the splint so that it will not fit into the ear canal.

     


    Step 6 - Use SuperWide tape to hold the ear to the side of the head

    1. Open the pack containing the SuperWide adhesive tapes.
    2. You may wish to shorten the SuperWide Tapes by up to 3 cm. Although shortening the tapes will give less adhesion, it will make them less conspicuous. You may be able to cut the excess tape ends into narrow tapes to hold the splint in place next time you change the tapes.

    Click to see more

    3.   Rounding the tape ends with scissors before you remove them from their backing and apply them can help to prevent the edges from lifting and improve their appearance.

    4.   Use SuperWide tape to hold the splint firmly in place in the conchal bowl. Ideally the tape should be as low down as possible to reduce the risk of damaging the cartilage folds of the helix and anti-helix, whilst at the same time applying pressure on the splint in the conchal bowl.

    5.   Do not apply the adhesive tapes under tension or stretched; excessive tension may cause the delicate skin to shear or blister.

     

    See 6 examples below of fitting EarBuddies™ to treat Conchal Crus.