Pi Hongyang, Kurlander David E, Guyuron Bahman
From the Department of Plastic Surgery, Case Western Reserve University, Cleveland, OH.
Aesthet Surg J. 2016 Sep;36(8):872-6. doi: 10.1093/asj/sjw031. Epub 2016 Mar 15.
The earlobe demonstrates stereotypical signs of aging, including wrinkles and volume depletion.
The purpose of this study is to review the outcome of the earlobe rejuvenation developed by the senior author.
We describe our earlobe rejuvenation technique refined over 10 years that uses fat grafting to the earlobe. Three raters assessed preoperative and postoperative photographs of 40 earlobes in 20 patients. Each earlobe was evaluated for volume deficiency, number of deep creases, depth of creases, and number of fine wrinkles. Inter-rater reliability was calculated. Earlobe length was also measured.
Seventeen females and 3 males with average age of 63 years were followed for an average of 26 months. Postoperative improvements were observed in earlobe volume deficiency and number of fine wrinkles (P < .05). Improvements were seen in number and depth of creases and the earlobe height, but these were not significant (P > .05). No complications relating to the earlobe were observed in these patients.
Fat grafting can be an effective means for earlobe rejuvenation.
4 Therapeutic.
耳垂呈现出典型的衰老迹象，包括皱纹和体积缩小。
本研究旨在回顾资深作者所开展的耳垂年轻化手术的效果。
我们描述了经过10年完善的耳垂年轻化技术，该技术采用向耳垂脂肪移植的方法。三位评估者对20例患者的40个耳垂的术前和术后照片进行评估。对每个耳垂的体积不足、深皱纹数量、皱纹深度和细纹数量进行评估。计算评估者间的可靠性。同时测量耳垂长度。
17名女性和3名男性，平均年龄63岁，平均随访26个月。术后耳垂体积不足和细纹数量有所改善（P < 0.05）。皱纹数量、深度以及耳垂高度有所改善，但差异不显著（P > 0.05）。这些患者未观察到与耳垂相关的并发症。
脂肪移植可成为耳垂年轻化的有效方法。
4 治疗性。
