Fearon J, Cuadros C L
Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital/Harvard Medical School, Boston.
Ann Plast Surg. 1990 Mar;24(3):252-7. doi: 10.1097/00000637-199003000-00010.
This is a retrospective study of 9 patients who underwent a total of 11 repairs for cleft earlobe. Two repairs were performed using the simple technique, and 9 were repaired using the L-plasty technique. The mean follow-up was 5.5 months (range, 2-18 months). Both of the simple repairs were judged to have moderate notching along the inferior lobular border, and 1 of the 9 L-plasty repairs was judged to have a slight notching. There were no complications. We believe that the L-plasty technique offers a better cosmetic result in the repair of the cleft earlobe. This technique breaks the vertical component of scar contracture, resulting in a smooth lobular border. In addition, a variation on this technique allows for a simultaneous reduction of the lobule when indicated.
这是一项对9例患者进行的回顾性研究，这些患者共接受了11次耳垂裂修复手术。其中2次修复采用简单技术，9次采用L形皮瓣技术修复。平均随访时间为5.5个月（范围2 - 18个月）。两次简单修复在耳垂下缘均有中度切迹，9例L形皮瓣修复中有1例有轻微切迹。无并发症发生。我们认为L形皮瓣技术在耳垂裂修复中能提供更好的美容效果。该技术打破了瘢痕挛缩的垂直成分，形成光滑的耳垂边缘。此外，该技术的一种变体在有指征时可同时缩小耳垂。
