Karaaslan Onder, Sonmez Erhan, Silistreli Ozlem Karatas, Can Melih, Caliskan Gorkem, Bedir Yagmur Kaan
Plastic Reconstructive and Aesthetic Surgery Clinic, Izmir Ataturk Training and Research Hospital, Izmir, Turkey.
J Craniofac Surg. 2013 Jul;24(4):1350-2. doi: 10.1097/SCS.0b013e31828b6afc.
This article presents a modified technique to split and reposition the posterior auricular muscle flap as an adjunct to traditional otoplasty.
Although numerous techniques have been described for the correction of prominent ear deformity, there is still a continuing debate on which operative method achieves the best results. Recurrence of the deformity or the need for secondary revisions is still among the common problems. We aimed to focus on a technical modification of the use of the postauricular muscle flap to strengthen the effect of otoplasty and to obtain more prominent results.
Twelve patients with prominent ears (total, 24 ears) were operated on and followed up at least 6 months. To determine the efficacy of the technique on the different parts of the ears, 2 distances of each ear to the scalp for both the superior and middle third of the ears were measured and compared before the surgery, early after the surgery, and late after the surgery.
The mean distances for both the upper and middle third of the ears were significantly lower (P < 0.05) at the end of the first month after the surgery. Although a millimetric slight rise was observed, there was no statistically significant difference between the mean postoperative results of the first and sixth months (P > 0.05).
The splitted posterior auricular muscle flap repositioning to the upper and middle third of the ear may be successfully performed adjunct to the conventional corrective otoplasty. According to the late postoperative results, it seems to be that a stronger and more permanent otoplasty may be obtained with the addition of a splitted and reinserted postauricular muscle flap to the traditional otoplasty.
本文介绍一种改良技术，即将耳后肌瓣进行分割并重新定位，作为传统耳整形术的辅助方法。
尽管已经描述了多种用于矫正招风耳畸形的技术，但对于哪种手术方法能取得最佳效果仍存在持续的争论。畸形复发或需要二次修复仍是常见问题。我们旨在专注于耳后肌瓣使用的技术改良，以增强耳整形术的效果并获得更显著的结果。
对12例招风耳患者（共24只耳）进行手术，并随访至少6个月。为确定该技术对耳朵不同部位的疗效，在手术前、手术后早期和手术后晚期测量并比较每只耳朵上三分之一和中三分之一部位到头皮的2个距离。
术后第一个月末，耳朵上三分之一和中三分之一部位的平均距离均显著降低（P < 0.05）。尽管观察到有毫米级的轻微上升，但术后第一个月和第六个月的平均结果之间无统计学显著差异（P > 0.05）。
将分割后的耳后肌瓣重新定位到耳朵的上三分之一和中三分之一部位，可以成功地作为传统矫正耳整形术的辅助方法。根据术后晚期结果，在传统耳整形术中增加分割并重新植入的耳后肌瓣似乎可以获得更强效、更持久的耳整形效果。
