Andjelkov Katarina, Sforza Marcos, Zaccheddu Renato, Lazović Goran, Colić Miodrag
General Hospital "Belmedic" Koste Jovanovića 87, 11000 Belgrade, Serbia.
Srp Arh Celok Lek. 2010 Sep-Oct;138(9-10):546-50. doi: 10.2298/sarh1010546a.
Otoplasty or correction of prominent ears, is one of most commonly performed surgeries in plastic surgery both in children and adults. Until nowadays, there have been more than 150 techniques described, but all with certain percentage of recurrence which varies from just a few up to 24.4%.
The authors present an otoplasty technique, a combination of Mustardé's original procedure with other techniques, which they have been using successfully in their everyday surgical practice for the last 9 years. The technique is based on posterior antihelical and conchal approach.
The study included 102 patients (60 males and 42 females) operated on between 1999 and 2008. The age varied between 6 and 49 years. Each procedure was tailored to the aberrant anatomy which was analysed after examination. Indications and the operative procedure are described in step-by-step detail accompanied by drawings and photos taken during the surgery.
All patients had bilateral ear deformity. In all cases was performed a posterior antihelical approach. The conchal reduction was done only when necessary and also through the same incision. The follow-up was from 1 to 5 years. There were no recurrent cases. A few minor complications were presented. Postoperative care, complications and advantages compared to other techniques are discussed extensively.
All patients showed a high satisfaction rate with the final result and there was no necessity for further surgeries. The technique described in this paper is easy to reproduce even for young surgeons.
耳部整形术或招风耳矫正术是整形外科中儿童和成人最常施行的手术之一。迄今为止，已描述了150多种技术，但所有技术都有一定比例的复发率，复发率从仅百分之几到24.4%不等。
作者介绍一种耳部整形技术，即Mustardé原始手术与其他技术的结合，在过去9年的日常外科手术实践中他们一直成功使用该技术。该技术基于耳后对耳轮和耳甲方法。
该研究纳入了1999年至2008年间接受手术的102例患者（60例男性和42例女性）。年龄在6至49岁之间。每个手术都根据检查后分析的异常解剖结构进行定制。手术适应症和步骤通过手术过程中拍摄的附图和照片进行了详细的分步描述。
所有患者均为双侧耳部畸形。所有病例均采用耳后对耳轮方法。仅在必要时通过相同切口进行耳甲缩小。随访时间为1至5年。无复发病例。出现了一些轻微并发症。广泛讨论了术后护理、并发症以及与其他技术相比的优点。
所有患者对最终结果均显示出高满意度，无需进一步手术。本文所述技术即使对于年轻外科医生也易于重现。
