耳整形术：抗螺旋缺陷治疗技术的比较
Otoplasty: a comparison of techniques for antihelical defects treatment.
作者信息
Panettiere Pietro, Marchetti Lucio, Accorsi Danilo, Del Gaudio Giovanni-Alberto
机构信息
Dipartimento di Discipline Chirurgiche, Rianimatorie e dei Trapianti, Clinica Chirurgica IV, Policlinico S. Orsola, Università degli Studi di Bologna, Bologna, Italy.
出版信息
Aesthetic Plast Surg. 2003 Nov-Dec;27(6):462-5. doi: 10.1007/s00266-003-3073-3. Epub 2004 Mar 22.
BACKGROUND
Prominauris, the most common malformative defect of the external ear, is dependent on a combination of elementary defects mainly affecting the antihelix and the concha. Transection versus cartilage weakening results in antihelix treatment are discussed.
METHODS
In this study, 104 ears with antihelical defects were treated in 63 consecutive patients: the 33 patients (53 ears) in group A, received a transection-based treatment, whereas the 30 patients (51 ears) in group B, underwent cartilage weakening and suture. All the patients were treated using a posterior access. The aesthetic results were evaluated by an independent well-trained plastic surgeon.
RESULTS
No differences were found in correction degree and stability between the two methods, but cartilage weakening techniques provided a smoother and more natural curvature.
CONCLUSIONS
Cartilage weakening techniques can lead to better aesthetic results, primarily because of a softer and more natural ear curvature.
背景
招风耳是最常见的外耳畸形缺陷，它取决于主要影响对耳轮和耳甲的多种基本缺陷。本文讨论了对耳轮治疗中的横断术与软骨弱化术。
方法
本研究纳入了63例连续患者的104只存在对耳轮缺陷的耳朵：A组33例患者（53只耳朵）接受了基于横断术的治疗，而B组30例患者（51只耳朵）则进行了软骨弱化和缝合。所有患者均采用后路入路进行治疗。由一位训练有素的独立整形外科医生评估美学效果。
结果
两种方法在矫正程度和稳定性方面均未发现差异，但软骨弱化技术提供了更平滑、更自然的曲率。
结论
软骨弱化技术可带来更好的美学效果，主要是因为耳朵的曲率更柔和、更自然。
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