Borman Huseyin, Deniz Murat, Ertas Nilgun M, Seyhan Tamer, Caglar Baris
Department of Plastic, Reconstructive, and Esthetic Surgery, Baskent University Faculty of Medicine, Ankara, Turkey.
J Craniofac Surg. 2008 Nov;19(6):1643-4. doi: 10.1097/SCS.0b013e31818c0306.
The ear lobe plays an important part in the aesthetic appearance of the auricle. The clefts of the ear lobe may vary in a wide range of severity from a simple notching to extensive tissue deficiency. We have operated on a congenital longitudinal ear lobe cleft using an alternative surgical method and obtained a favorable result. This method consists of a 7-plasty (or inverted L-plasty) that was performed to correct the deformity. The inner edges of the lobes were excised, and a medial extension incision was added. This helped to drop the medial part inferiorly like a back-cut so that the length of that lobe was increased. Eversion of the lateral lobe was also done, and the edges were approximated so that the angle between the extension incision and the excision line was increased to produce an obtuse angle between the 2 lines. We report an alternative method of reconstruction that can be used in longitudinal ear lobe clefts that offers a favorable result.
耳垂在耳廓的美学外观中起着重要作用。耳垂裂的严重程度差异很大，从简单的切口到广泛的组织缺损不等。我们采用一种替代手术方法对先天性纵向耳垂裂进行了手术，并取得了良好的效果。该方法包括进行一个7字形整形术（或倒L形整形术）来矫正畸形。切除耳垂的内边缘，并增加一个内侧延伸切口。这有助于像倒切一样将内侧部分向下拉，从而增加该耳垂的长度。外侧耳垂也进行了外翻，并将边缘对合，使延伸切口与切除线之间的角度增大，在两条线之间形成钝角。我们报告了一种可用于纵向耳垂裂的重建替代方法，该方法效果良好。
