Vayvada Haluk, Karaca Can, Menderes Adnan, Yilmaz Mustafa
Dokuz Eylul Universities Tip Fakultesi, Plastic ve Rekonstruktif Cerrahi Anabilim Dali, Inciralti Izmir 35340, Turkey.
Aesthetic Plast Surg. 2005 Jul-Aug;29(4):251-4; discussion 255. doi: 10.1007/s00266-004-0136-z.
Question mark ear (Cosman ear) deformity, a rare congenital malformation, is characterized by a cleft between the helix and the ear lobe and marked prominence of the auricles. Although the features of question mark ear deformity are well described in the literature, there is no definitive surgical technique for repair of this deformity, Several surgical methods have been introduced for the correction of the deformity. These techniques mainly provide for repair of the cleft between the helix and ear lobe. However, marked prominence of the upper auricle usually is also present with the cleft. We modified the surgical technique to correct the cleft and the upper prominence at the same time. With this procedure, the cleft is exposed by raising a vertical cutaneous flap based on the cleft on the posterior side of the ear, After anterior scoring to form the antihelix and cleft repair using an ipsilateral conchal cartilage graft, the cutaneous flap is used to cover the cartilage graft and the flap donor site is closed primarily to facilitate restoration of the antihelix. The authors report on a patient with Cosman ear and introduce their modified technique that can be used for repair of the cleft between the helix and ear lobe and the prominence of the upper helix in the same procedure.
问号耳（科斯曼耳）畸形是一种罕见的先天性畸形，其特征为耳轮与耳垂之间有裂隙且耳廓明显突出。尽管文献中对问号耳畸形的特征已有详细描述，但对于修复这种畸形尚无明确的手术技术。已经介绍了几种用于矫正该畸形的手术方法。这些技术主要用于修复耳轮与耳垂之间的裂隙。然而，裂隙出现时通常还伴有耳廓上部明显突出。我们改进了手术技术，以便同时矫正裂隙和上部突出。通过在耳后侧基于裂隙掀起一个垂直皮瓣来暴露裂隙，在前侧刻痕形成对耳轮并使用同侧耳甲软骨移植修复裂隙后，用皮瓣覆盖软骨移植片，皮瓣供区直接缝合以促进对耳轮的恢复。作者报告了一例科斯曼耳患者，并介绍了他们改进的技术，该技术可在同一手术中用于修复耳轮与耳垂之间的裂隙以及耳轮上部的突出。
