Berghaus A
Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Deutschland.
HNO. 2012 Oct;60(10):862-7. doi: 10.1007/s00106-012-2569-z.
Failed otoplasty can result in deformities which are more annoying than the preoperative state of prominent ears, especially if aggressive cutting or scoring techniques are used. This article describes how such deformities can be corrected successfully.
Ugly creases and edges can be corrected through readapting the cartilage edges followed by revision otoplasty using suture techniques. If cartilage defects are present, porous polyethylene implants can restore an aesthetic form of the auricle.
The author has successfully treated 16 severe ear deformities after failed otoplasty in the last 3 years with the procedures described.
The author recommends reconstructing the cartilaginous skeleton and redoing otoplasty with suture techniques rather than merely camouflaging creases with fascia or preserved materials. Porous polyethylene implants can successfully be used instead of autogenous cartilage to reconstruct a missing ear cartilage skeleton.
耳部整形失败可能导致比术前招风耳状态更令人烦恼的畸形，特别是如果使用了激进的切割或划痕技术。本文描述了如何成功矫正此类畸形。
通过重新调整软骨边缘，然后使用缝合技术进行耳部整形修复，可以矫正难看的褶皱和边缘。如果存在软骨缺损，多孔聚乙烯植入物可以恢复耳廓的美观形态。
在过去3年中，作者使用所述方法成功治疗了16例耳部整形失败后的严重耳部畸形。
作者建议重建软骨支架并用缝合技术重新进行耳部整形，而不是仅仅用筋膜或保留材料掩盖褶皱。多孔聚乙烯植入物可以成功地替代自体软骨来重建缺失的耳软骨支架。
