Although it is very uncommon, inflammation can occur during the splintage process. Most often it is behind the ear, and occasionally under the splint. It is caused by skin maceration as a result of moisture (sweating, bath water, dribble or posset). A layer of moisture between the two surfaces closely in contact can cause the skin to swell and become red. If the inflammation is allowed to persist, the skin’s surface can break down and start to weep, and can even become infected. Some skins are more sensitive to moisture than others.
Remove the tape and splints as soon as you notice inflammation, and allow the area to heal fully (Medihoney can help to soothe the skin). Wash the splints with warm water and baby soap, then continue with splintage using fresh Adhesive Tape, clean and dry splints, and with baby freshly bathed and dried. It is essential to keep the ears dry and clean. After any episode of inflammation, you should use Cavilon Spray which creates a barrier film to protect sensitive skin.
Always follow the Fitting Guide closely and remember that it is of paramount importance to thoroughly wash your hands with soap, and dry them on clean towel, before you fit the splints, and every time you change the tapes. Monitor the area closely and remove the tape and splints immediately if any inflammation reoccurs; as before, allow the area to heal completely before applying the splints again. If you are having trouble keeping the area clean and dry, change the tapes more regularly as a precaution.
Remember - inflammation is temporary, but early ear correction will make a permanent, positive change to your child’s life, and should avoid teasing and surgery, so patience and perseverance are essential. Ears often drift out in the first six months of life, so the more you can keep the splints in place, the higher the chance of preventing the ears from drifting out further, and the higher the chance of permanently reducing the existing prominence.
Paradoxically, children who develop a tissue reaction, and children with eczema, often achieve a better, quicker result, perhaps because the influx of prostaglandins into the inflamed area has a beneficial effect in speeding up cartilage maturation (the hardening process).
If you are concerned that your baby has an infection, rather than simply inflammation, you should consult a medical professional.