Adamson P A, McGraw B L, Tropper G J
Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Ontario, Canada.
Laryngoscope. 1991 Aug;101(8):883-8. doi: 10.1288/00005537-199108000-00013.
Although it is generally believed that otoplasty provides uniformly gratifying results, thorough patient follow-up reviews are quite rare. Otoplasty surgery performed on 119 ears was retrospectively reviewed to assess the results of our cartilage-sparing technique. This method of otoplasty relies on a conchal set-back and suture transfixation technique to improve the antihelical contour. Auricular medialization averaged 10.3 mm. Over-correction is required, particularly in the superior pole, as loss of correction with healing was approximately 40% of the initial medialization. Revision surgery due to loss of correction was necessary for 6.6% of the ears initially operated on by the senior author. Patients who presented following cartilage-cutting procedures tended to have a higher rate of revision and persistent postoperative stigmata. Complications in general were few; however, mersilene suture extrusion occurred in 8% of ears. Only one of these required revision surgery for associated loss of correction. Despite these drawbacks, over 95% of patients achieved satisfactory results using cartilage-sparing otoplasty techniques.
尽管人们普遍认为耳整形术能带来一致令人满意的效果，但对患者进行全面的随访复查却相当罕见。对119只耳朵进行的耳整形手术进行了回顾性分析，以评估我们保留软骨技术的效果。这种耳整形方法依靠耳甲腔后缩和缝合固定技术来改善对耳轮轮廓。耳廓内移平均为10.3毫米。需要过度矫正，尤其是在耳廓上极，因为愈合过程中矫正效果的丧失约为初始内移量的40%。资深作者最初手术的耳朵中，有6.6%因矫正效果丧失而需要进行修复手术。接受软骨切割手术的患者往往修复率较高，术后仍有明显痕迹。总体并发症较少；然而，8%的耳朵出现了涤纶缝线外露。其中只有一只耳朵因相关的矫正效果丧失而需要进行修复手术。尽管有这些缺点，但超过95%的患者使用保留软骨的耳整形技术取得了满意的效果。
