Evidence map›Paper›PMID 41649006›Full record

ArticleThe Laryngoscope2026

Current Evidence of the Effect of Breastfeeding on Ear Molding Outcomes: A Scoping Review.

Harry Chiang, Samuel R Shing, Peggy Su-Genyk, Lilun Li, Kelvin Kwong, Joseph B Vella

Abstract readScoping Review
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Harry ChiangGlasgold Group Plastic Surgery, Princeton, New Jersey, USA.
Samuel R ShingDepartment of Head and Neck Surgery & Communication Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Peggy Su-GenykDepartment of Head and Neck Surgery & Communication Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Lilun LiDepartment of Head and Neck Surgery & Communication Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Kelvin KwongDepartment of Head and Neck Surgery & Communication Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Joseph B VellaDepartment of Head and Neck Surgery & Communication Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo provide an overview on auricular molding and to investigate whether breastfeeding is associated with greater cartilage malleability or improved perinatal auricular molding outcomes. DATA SOURCES: Embase, MEDLINE, and CENTRAL databases.

methodsThree databases were comprehensively searched for treatment of congenital auricular malformations or deformations with auricular molding. Extracted data included study design, patient demographics and auricular anomalies, interventions and outcomes measures, and references to the effect of estrogen and breastfeeding on cartilage malleability and ear molding.

resultsOut of 1018 unique articles, 67 were included in this review. The articles included a total of 3645 patients and 5384 ears, of which helical rim abnormality (20.6%), lop/lidding/cup ear (20.2%), and prominent ear (11.1%) were the most represented. Of the 67 articles referencing estrogen levels, 49 supported the claim that estrogen increases auricular cartilage malleability. Fifteen articles (22.4%) referenced the effect of breastfeeding on infant circulating estrogen levels and molding outcomes, while 8 (53.3%) of those articles supported the claim. Notably, only 4 primary sources were referenced regarding the effect of breastfeeding among all reviewed literature.

conclusionsThere is insufficient evidence to suggest that breastfeeding leads to increased circulating estrogen levels in infants, increased auricular cartilage malleability, or improved ear molding outcomes. The direct impact of hyaluronic acid on the mechanical properties of auricular cartilage in vivo remains unclear.

Indexed as

Breast FeedingEar CartilageEstrogensFemaleHumansInfantInfant, NewbornTreatment OutcomeEstrogensauricular deformityauricular moldingear moldingmicrotiaotoplasty

Identifiers

PMID41649006
PMCPMC13253182

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.