Bhandari Padam Singh, Singh Sukhbir
Department of Burns, Plastic, Maxillofacial and Micro-Vascular Surgery, Lok Nayak Hospital, New Delhi, India.
Department of Burns, Plastic, Maxillofacial and Micro-Vascular Surgery, Kamal Hospital, Kaushambi, Uttar Pradesh, India.
Indian J Plast Surg. 2013 Sep;46(3):518-20. doi: 10.4103/0970-0358.121999.
Ear projection is an important goal to be achieved after stage two (ear elevation) in cases of microtia. This is a retrospective study conducted on patients with microtia who underwent staged reconstruction for the same. This study has been carried out over a period of 10 years with 211 patients. Dental impression compound was used as a splint after ear elevation and split skin grafting to maintain the projection of the ear. Projection of the ear was measured both pre- and post-procedure and at every follow-up using goniometer and photographic documentation was simultaneously done. Statistical analysis was performed using t-test. Patients were reviewed every month and splint was continued until 6 months post-surgery. The splint was very effective in maintaining the ear projection of more than 20(°) even after prolonged follow-up of upto 2 years. There were no complications associated with the splint application or prolonged use.
在小耳畸形病例中，耳部突出是二期（耳部抬高）手术后要实现的一个重要目标。这是一项对接受分期重建的小耳畸形患者进行的回顾性研究。该研究历时10年，涉及211名患者。在耳部抬高和植皮术后，使用牙科印模膏作为夹板来维持耳部突出。术前、术后以及每次随访时均使用量角器测量耳部突出情况，并同时进行摄影记录。采用t检验进行统计分析。每月对患者进行复查，夹板持续使用至术后6个月。即使经过长达2年的长期随访，夹板在维持耳部突出超过20°方面非常有效。夹板应用或长期使用均未出现并发症。
