Chkadua T Z, Asirova G V, Mustafina F K, Chernenkiy M M, Frolov S S, Vejze D L
Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
Stomatologiia (Mosk). 2017;96(3):30-35. doi: 10.17116/stomat201796330-35.
The aim of the research was to optimize surgical rehabilitation of patients with auricle defects and deformities by the developing of differentiated approach to the choice of reconstructive otoplasty method. The study involved 30 patients with auricle defects and deformities of congenital (20 patients) and acquired (10 patients) etiology. The defects were total in 25 patients and partial in 5 patients. All patients underwent ear reconstruction with rib cartilage using carving technique. Preoperative planning was based in Doppler ultrasound of temporal region vessels, laser Doppler flowmetry, temporal skin ultrasound and 3D ribcage CT. The surgical tactic was selected according to the possibility of mastoid region skin usage or necessity of the temporoparietal fascial flap. The approach proved to be highly efficient as otoplasty outcomes were good in 80% of cases, satisfactory in 10% and unsatisfactory in 10%.
该研究的目的是通过制定差异化的方法来选择耳廓再造整形手术方法，从而优化耳廓缺损和畸形患者的手术康复效果。该研究纳入了30例患有耳廓缺损和畸形的患者，其中先天性病因20例，后天性病因10例。25例患者为全耳廓缺损，5例为部分缺损。所有患者均采用雕刻技术，利用肋软骨进行耳部重建。术前规划基于颞区血管的多普勒超声、激光多普勒血流仪、颞部皮肤超声和三维胸廓CT。根据乳突区皮肤的使用可能性或颞顶筋膜瓣的必要性来选择手术策略。该方法被证明具有很高的效率，因为耳廓整形手术的效果在80%的病例中良好，10%令人满意，10%不满意。
