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耳整形术的巩固技术:技术联合的综合方法

Consolidative Technique Otoplasty: Comprehensive Approach in Combining Techniques.

作者信息

Temel Metin

机构信息

Department of Plastic and Reconstructive Surgery, School of Medicine, Mustafa Kemal University, Antakya, Hatay, Turkey.

出版信息

Aesthetic Plast Surg. 2016 Dec;40(6):822-831. doi: 10.1007/s00266-016-0699-5. Epub 2016 Sep 9.

Abstract

BACKGROUND

This study aimed to present the long-term results of the consolidative technique otoplasty (CTO).

METHODS

Patient age, sex, duration of follow-up, and how the deformity (bilateral-unilateral) occurred were determined. The kind of anesthesia, duration of surgery, surgical techniques used during the operation were reported, and the preoperative and postoperative distances between the ear and head were measured at four points (SUP: The highest point of the helix; SCA: the concha superior sticking points; ICA: stick point of Concha at the inferior; and lobular). Early- and late-term complications were recorded in the postoperative period.

RESULTS

A total of 63 (21M-42FM) patients whose average age of 21:41 ± 8.96 (7-41), 119 ears (Right: 58/Left: 61) were operated on with this technique between 2013 and 2015. Mean follow-up was 18:22 ± 9:42 months. Anterior scoring was performed for three patients; concha resection was performed in 17 patients. Fifty-five patients were operated on as primary otoplasties and eight were secondary otoplasties. When the preoperative and postoperative SUP, SCA, ICA, and lobule measurements for both ears were compared, the postoperative values were found to be significantly decreased (p < 0.001).

CONCLUSIONS

This technique may be an alternative in the repairs of prominent ears, and it provides an intervention opportunity for all the anatomical structures.

LEVEL OF EVIDENCE V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景

本研究旨在展示巩固性耳整形术(CTO)的长期效果。

方法

确定患者的年龄、性别、随访时长以及畸形(双侧或单侧)的发生方式。报告麻醉方式、手术时长、术中使用的手术技术,并在四个点测量术前和术后耳朵与头部之间的距离(SUP:耳轮最高点;SCA:耳甲艇上附着点;ICA:耳甲腔下附着点;以及耳垂)。记录术后早期和晚期并发症。

结果

2013年至2015年间,共有63例(21例男性 - 42例女性)患者接受了该技术手术,平均年龄为21:41 ± 8.96(7 - 41岁),共119只耳朵(右侧:58只/左侧:61只)。平均随访时间为18:22 ± 9:42个月。对3例患者进行了前路评分;17例患者进行了耳甲切除术。55例患者接受了初次耳整形术,8例患者接受了二次耳整形术。比较双耳术前和术后SUP、SCA、ICA及耳垂测量值,发现术后值显著降低(p < 0.001)。

结论

该技术可能是招风耳修复的一种选择,并且为所有解剖结构提供了干预机会。

证据等级V:本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南www.springer.com/00266

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