Qing Yong, Cen Ying, Xu Xuewen, Chen Junjie
Department of Plastic and Burn Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Ann Plast Surg. 2013 Jun;70(6):657-8. doi: 10.1097/SAP.0b013e31824144a7.
The earlobe plays an important part in the aesthetic appearance of the auricle. Congenital cleft earlobe may vary considerably in severity from a simple notching to extensive tissue deficiency. Most patients with cleft earlobe require surgical correction because of abnormal appearance. In this article, a new surgical technique for correcting congenital simple cleft earlobe using diametric hinge flaps is introduced.
We retrospectively reviewed 4 patients diagnosed with congenital cleft earlobe between 2008 and 2010. All of them received this new surgical method. The patients were followed up from 3 to 6 months. All patients attained relatively full bodied earlobes with smooth contours, inconspicuous scars, and found their reconstructed earlobes to be aesthetically satisfactory. One patient experienced hypoesthesia in the area operated on, but recovered 3 months later. No other complications were noted.
This simple method not only makes full use of the surrounding tissues to reconstruct full bodied earlobes but also avoids small notch formation caused by the linear scar contraction sometimes seen when using more traditional methods.
耳垂在耳廓的美观方面起着重要作用。先天性耳垂裂的严重程度差异很大，从简单的切迹到广泛的组织缺损。大多数耳垂裂患者因外观异常需要手术矫正。本文介绍一种使用直径铰链皮瓣矫正先天性单纯耳垂裂的新手术技术。
我们回顾性分析了2008年至2010年间诊断为先天性耳垂裂的4例患者。他们均接受了这种新手术方法。对患者进行了3至6个月的随访。所有患者均获得了轮廓相对饱满、瘢痕不明显的耳垂，且对重建后的耳垂外观满意。1例患者在手术区域出现感觉减退，但3个月后恢复。未发现其他并发症。
这种简单的方法不仅充分利用周围组织重建饱满的耳垂，还避免了使用更传统方法时有时会出现的线性瘢痕收缩导致的小切迹形成。
