Koch A, Andes C, Federspil P
Clinique Universitaire O.R.L., Homburg/Saar, R.F.A.
Rev Laryngol Otol Rhinol (Bord). 1991;112(3):249-53.
In order to investigate the results obtained after surgical treatment of prominent ears with a modified method basically derived from the technique of Mustardé 340 patients had been interrogated and 150 had been examined postoperatively. In 91.4% of the cases the patients themselves and in 84.7% the surgeon was satisfied by the postoperative result. Recurrence was observed in 17% and was due partly to the intermittent use of a resorbable suture material. In some cases recurrence consisted in a slight asymmetry, that was not really disturbing and did not need a further correction. A fundamental advantage of our surgical method is the fact that the cartilage has not to be destroyed, so that ugly and unnatural rims are avoided as well as some further postoperative complications (othematoma, perichondritis, pain and sensibility to the cold). Revision surgery even by another technique is always possible because the cartilage is left intact.
为了研究采用一种基本源自Mustardé技术的改良方法手术治疗招风耳后的效果,我们询问了340例患者,并对其中150例进行了术后检查。91.4%的患者对术后效果满意,84.7%的外科医生也对术后效果满意。观察到17%的复发率,部分原因是可吸收缝合材料的间歇性使用。在某些情况下,复发表现为轻微不对称,这并不会真正造成困扰,也无需进一步矫正。我们手术方法的一个根本优点是软骨无需被破坏,这样既能避免难看且不自然的边缘,又能避免一些其他术后并发症(耳血肿、软骨膜炎、疼痛和对寒冷敏感)。由于软骨保持完整,即使采用另一种技术进行翻修手术也总是可行的。