Liu Quan, You Xiaobo, Zhang Jiajian
Department of Plastic Surgery, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu Sichuan, 610072, P.R.China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012 Dec;26(12):1482-5.
To introduce a modified method to correct type I and type II cup ear and to evaluate the effectiveness.
Between May 2006 and November 2011, 23 patients with type I or type II cup ear (27 ears, type I in 6 ears and type II in 21 ears according to Tanzer's criteria) were treated. There were 14 males and 9 females with an average age of 10 years (range, 7-16 years). The unilateral ear was involved in 19 cases and bilateral ears in 4 cases. The main clinical manifestations included the flat helix and scapha and ptosis of upper 1/3 auricle. The arc incision was adopted in the auriculocephalic angle, elevation of the dis-clothing-like flap in the front and rear of the auricular cartilage, relocation of the craniofacial initiation site of the scapha and the cavity of auricular concha, correction of deformational auricular cartilage and reconstruction of smooth helix, antihelix, superior and inferior antihelix crus.
All the incisions healed by first intention without any hematoma, postoperative infection, or flap necrosis. All patients were followed up 9 months-6 years (median, 36 months). No auricle ptosis, deformity contour, or atrophy was observed. The structure of the helix, scapha, and antihelix were clear, natural, and excellent. The scars at the local site were limited and unconspicuous.
Modified method can almost correct all the anatomic defects of cup ear. It is an ideal method to treat type I and type II cup ear.
介绍一种改良方法矫正Ⅰ型和Ⅱ型杯状耳并评估其效果。
2006年5月至2011年11月，对23例Ⅰ型或Ⅱ型杯状耳患者（27耳，根据坦泽标准，Ⅰ型6耳，Ⅱ型21耳）进行治疗。其中男性14例，女性9例，平均年龄10岁（范围7 - 16岁）。单侧耳受累19例，双侧耳受累4例。主要临床表现为耳轮和耳舟扁平以及耳廓上1/3下垂。采用耳颅角弧形切口，掀起耳廓软骨前后的脱衣样皮瓣，重新定位耳舟和耳甲腔的颅面起始部位，矫正变形的耳廓软骨并重建光滑的耳轮、对耳轮、上下对耳轮脚。
所有切口均一期愈合，无血肿、术后感染或皮瓣坏死。所有患者随访9个月至6年（中位时间36个月）。未观察到耳廓下垂、轮廓畸形或萎缩。耳轮、耳舟和对耳轮结构清晰、自然且良好。局部瘢痕局限且不明显。
改良方法几乎可矫正杯状耳的所有解剖缺陷。是治疗Ⅰ型和Ⅱ型杯状耳的理想方法。
