Misirlioglu Aykut, Karanfil Huseyin, Akoz Tayfun
Department of Plastic, Reconstructive and Aesthetic Surgery, Dr Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey.
J Craniofac Surg. 2010 Mar;21(2):375-8. doi: 10.1097/SCS.0b013e3181cf609b.
Ear reconstruction with autologous tissues and creating a natural-appearing ear is a difficult, multistage surgical procedure. Problems, such as a thick skin or an inadequate cartilage-flap relationship, may cause obliteration of the framework details. A nonsurgical technique to improve auricular definition is described.
Twenty-six patients with reconstructed ears due to inadequate auricular definition were enrolled in the study. To achieve a better auricular shape, triamcinolone acetonide injections up to 4 sessions were applied. Results of injections were evaluated by improvement of ear contours, quality of detail, frequency of injections, and complications. In addition, histopathologic studies were carried out in 8 patients.
The results were satisfactory. Significant recovery was observed in auricular definition in all patients. There were no major complications observed as a result of the use of steroids during the long follow-up period, suggesting that our technique was safe.
The solution to unfavorable results of a primary auricular reconstruction generally requires extremely difficult and challenging procedures. In selected patients, triamcinolone injections may be a remedy and may be helpful in avoiding complex surgical procedures.
利用自体组织进行耳部重建并打造出外观自然的耳朵是一项复杂的多阶段外科手术。诸如皮肤过厚或软骨皮瓣关系不佳等问题，可能会导致支架细节消失。本文描述了一种改善耳廓清晰度的非手术技术。
本研究纳入了26例因耳廓清晰度欠佳而接受耳部重建的患者。为了获得更好的耳廓形状，进行了多达4次的曲安奈德注射。通过耳廓轮廓的改善、细节质量、注射频率和并发症来评估注射效果。此外，对8例患者进行了组织病理学研究。
结果令人满意。所有患者的耳廓清晰度均有显著改善。在长期随访期间，未观察到因使用类固醇而出现的重大并发症，表明我们的技术是安全的。
初次耳廓重建效果不佳的解决方案通常需要极其困难且具有挑战性的手术。对于部分患者，曲安奈德注射可能是一种补救措施，有助于避免复杂的外科手术。
