Siegert Ralf
Department of Otorhinolaryngology, Head and Neck Surgery, Prosper Hospital, Academic Teaching Hospital of the Ruhr University Bochum, 45659 Recklinghausen, Germany.
Facial Plast Surg. 2004 Nov;20(4):293-8. doi: 10.1055/s-2005-865388.
Many techniques have been described for the correction of protruding ears. Most of them concentrate on correcting the form and position of auricular cartilage. The lobule is a soft tissue structure. Skin resections of its posterior surface have been propagated for the correction of its position; however, these cause tension on the wound and might increase the already relatively high risk for the development of keloids. We have modified the technique for correcting the protruding lobule for its exact positioning and minimizing the risk for relapse and keloids. Starting from the incision performed for the anthelix plasty, a subcutaneous pocket is prepared between the anterior and posterior sides of the lobule. Afterwards, the subcutaneous layer of the postlobular skin is adjusted and fixed to the cartilage of the conchal cavum with a special mattress suture. This technique is a refinement of otoplasty for bat ears. It is indicated for precise modification of form and position of protruding lobules.
已经描述了许多用于矫正招风耳的技术。其中大多数集中于矫正耳廓软骨的形态和位置。耳垂是一种软组织结构。为了矫正其位置，有人主张对其后面进行皮肤切除；然而，这些操作会给伤口带来张力，并可能增加原本就相对较高的瘢痕疙瘩形成风险。我们改进了矫正突出耳垂的技术，以实现其精确复位，并将复发和瘢痕疙瘩形成的风险降至最低。从耳轮成形术的切口开始，在耳垂的前后侧之间制备一个皮下袋。之后，用一种特殊的褥式缝线调整耳垂后皮肤的皮下层并将其固定到耳甲腔的软骨上。该技术是对杯状耳整形术的改进。它适用于精确改变突出耳垂的形态和位置。
