Sharma R, Krishnan S, Kumar S, Verma M
Department of Oral Surgery, Lady Hardinge Medical College, New Delhi, India.
Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, India.
Int J Oral Maxillofac Surg. 2014 Oct;43(10):1206-10. doi: 10.1016/j.ijom.2014.04.009. Epub 2014 May 20.
Multiple techniques exist for the repair of partial earlobe deformities. The procedures in use vary from minimal interventions involving marginal excision and closure, to cartilage grafting to prevent recurrence. A prospective study was conducted of 24 partial earlobe deformity repair procedures using the technique devised by the authors, involving a rotation flap for reduction of the defect size. Aesthetic outcomes and postoperative complications were assessed on the basis of clinical findings and photographic documentation. Sixteen female patients underwent the procedure of rotation flap repair of partial earlobe deformities (24 earlobes) between July 2011 and August 2012. The average age of the patients was 44 years, and the average length of follow-up was 14 months. Patient satisfaction was good. Adequate functional and cosmetic results were achieved in the first 2 weeks for 19 earlobes (79%). Good results were seen during 1 year of follow-up. The rotation flap technique appears to offer an effective method for partial earlobe defect repair, and thus provides another option for the management of partial earlobe defects.
修复部分耳垂畸形有多种技术。目前使用的手术方法各不相同，从涉及边缘切除和缝合的微创干预，到用于防止复发的软骨移植。对24例采用作者设计的技术进行的部分耳垂畸形修复手术进行了前瞻性研究，该技术采用旋转皮瓣来减小缺损大小。根据临床检查结果和照片记录评估美学效果和术后并发症。2011年7月至2012年8月期间，16例女性患者接受了部分耳垂畸形旋转皮瓣修复手术（24个耳垂）。患者的平均年龄为44岁，平均随访时间为14个月。患者满意度良好。19个耳垂（79%）在术后2周内获得了足够的功能和美容效果。随访1年期间效果良好。旋转皮瓣技术似乎为部分耳垂缺损修复提供了一种有效的方法，从而为部分耳垂缺损的处理提供了另一种选择。
