Leclère Franck Marie, Mordon Serge, Alcolea Justo, Martinez-Carpio Pedro, Vélez Mariano, Trelles Mario
French National Institute of Health and Medical Research U1189, Lille University Hospital, University of Lille, Lille Regional University Hospital Center (f.m.l., s.m.), Lille.
the Department of Plastic Surgery, Transsexual Surgery and Hand Surgery, Centre François-Xavier-Michelet, Bordeaux Hospital University Center (f.m.l.), Bordeaux Cedex, France.
Laryngoscope. 2015 Nov;125(11):2461-7. doi: 10.1002/lary.25294. Epub 2015 May 9.
Correction of prominent ears is a common plastic surgical procedure. The laser-assisted cartilage reshaping (LACR) technique for protruding ears was developed at the French National Institute of Health and Medical Research in Lille, France, using both the 1064- and 1540-nm wavelengths, with a view to simplifying the surgical procedure. Herein we report our results with the 1064-nm wavelength.
Between 2008 and 2010, twenty-six 1064-nm LACR procedures in 14 patients were performed. Twelve patients received treatment to both ears, and 2 patients received treatment to one ear. Each procedure consisted of a single treatment session. The treatment consisted of laser irradiation of both sides of the helix with single pulses of 70 J/cm2. The beam diameter was 6 mm. Early and late complications were defined and reviewed for all patients. Satisfaction was assessed by patients using a visual analogue scale from 0 (unsatisfied) to 20 (highly satisfied). The superior and middle cephaloauricular distances were prospectively evaluated at 6 months after treatment.
Complications included eight cases of localized skin burns and one case of dermatitis. The mean right/left superior and middle cephaloauricular distances were 10.5±1.5 mm/10.7±1.0 mm and 16.3±2.2 mm/16.3±2.8 mm, respectively, as compared to 17.5±2.9 mm/18.6±2.5 mm (P<0.01) and 24.5±2.6 mm/24.7±1.7 mm (P<0.01) before the operation. Mean patient satisfaction was 16.8/20±3.3.
Despite promising results for cartilage reshaping, the 1064-nm LACR procedure often leads to skin burns and inflammatory tissue reaction after treatment. Moreover, LACR with the 1064-nm wavelength is painful and necessitates local anaesthesia.
招风耳矫正术是一种常见的整形手术。法国里尔国家健康与医学研究院研发了用于矫正招风耳的激光辅助软骨重塑（LACR）技术，采用1064纳米和1540纳米两种波长，旨在简化手术过程。在此，我们报告使用1064纳米波长的治疗结果。
2008年至2010年期间，对14例患者实施了26次1064纳米LACR手术。12例患者双耳接受治疗，2例患者单耳接受治疗。每次手术均为单次治疗。治疗包括用70 J/cm²的单脉冲激光照射耳廓两侧。光束直径为6毫米。对所有患者的早期和晚期并发症进行定义和评估。患者使用从0（不满意）到20（非常满意）的视觉模拟量表评估满意度。前瞻性评估治疗后6个月时的上、中耳颞距。
并发症包括8例局部皮肤烧伤和1例皮炎。右/左耳平均上、中耳颞距分别为10.5±1.5毫米/10.7±1.0毫米和16.3±2.2毫米/16.3±2.8毫米，而术前分别为17.5±2.9毫米/18.6±2.5毫米（P<0.01）和24.5±2.6毫米/24.7±1.7毫米（P<0.01）。患者平均满意度为16.8/20±3.3。
尽管软骨重塑取得了令人满意的结果，但1064纳米LACR手术治疗后常导致皮肤烧伤和炎性组织反应。此外，1064纳米波长的LACR手术疼痛，需要局部麻醉。
4级。
