Gainesville, Fla.; St. Louis, Mo.; and Northbrook, Ill. From the Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida; Department of Surgery, Division of Plastic and Reconstructive Surgery, St. Louis University; and the University of Chicago, Pritzker School of Medicine.
Plast Reconstr Surg. 2011 Aug;128(2):536-544. doi: 10.1097/PRS.0b013e31821e7113.
The correction of an unfavorable outcome after otoplasty requires a thorough understanding of the anatomy of prominent ear and recognition of the spectrum of secondary deformities and their origin. The goal of this article is to describe the causes of postotoplasty deformity, including both undercorrection and overcorrection. The latter presents the more complicated reconstructive problem, as both skin shortage and permanent cartilage disruption need to be addressed. The authors propose an algorithm for revision otoplasty based on clinical findings and patient concerns. Finally, a case with overcorrection secondary to both skin deficiency and cartilage disruption is illustrated showing the sequential steps needed for optimal correction.
耳成形术后不良结果的矫正需要对招风耳的解剖结构有透彻的了解，并认识到继发畸形的范围及其成因。本文的目的是描述耳成形术后畸形的原因，包括矫正不足和矫正过度。后者提出了一个更复杂的重建问题，因为需要解决皮肤不足和永久性软骨破坏这两个问题。作者根据临床发现和患者的关注点提出了一种耳成形术修正算法。最后，通过一个因皮肤不足和软骨破坏导致矫正过度的病例，展示了优化矫正所需的连续步骤。
