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[耳整形术中的前路入路]

[Anterior approach in otoplasty].

作者信息

Cokkeser Yaşar, Karaoğlu Emre

机构信息

Department of Otolaryngology, Medicine Faculty of Mustafa Kemal University, Hatay, Turkey.

出版信息

Kulak Burun Bogaz Ihtis Derg. 2011 Nov-Dec;21(6):349-55. doi: 10.5606/kbbihtisas.2011.055.

Abstract

Prominent ear deformity is an autosomal dominant inherited anomaly of the external ear. It's found to be affecting approximately 5% of the population. It most frequently results from two reasons, one being the poor developmental of the antihelix and the other being the overdevelopment of the conchal bowl. This condition can cause psychological problems in school-age children. One or more anatomical problems of prominent ear may be existing in the individuals. Several surgical methods were developed for these problems. More than 200 surgical techniques have been described up to date in otoplasty. These techniques are mostly focused on creating antihelix or on shaping the conchal bowl or the lobule.
 Anterior otoplasty that provides an easier and direct approach was discussed. In this technique, formation of the anti-helical fold by excision of a crescent shaped cartilage, if required, and by using subdermal pull sutures under direct visualization were discussed. Thus our technique enabled obtaining the new level of the conchal bowl ridge.

摘要

招风耳畸形是一种外耳道的常染色体显性遗传性异常。据发现,它影响着约5%的人口。其最常见的原因有两个,一是对耳轮发育不良,另一个是耳甲艇过度发育。这种情况会在学龄儿童中引发心理问题。个体中可能存在一个或多个招风耳的解剖学问题。针对这些问题开发了几种手术方法。到目前为止,在耳整形术中已经描述了200多种手术技术。这些技术大多集中在形成对耳轮或塑造耳甲艇或耳垂上。讨论了提供更简单直接入路的前入路耳整形术。在这项技术中,讨论了通过切除新月形软骨(如有需要)以及在直接可视化下使用皮下牵引缝线来形成对耳轮褶皱。因此,我们的技术能够获得耳甲艇嵴的新高度。

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