Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
J Craniofac Surg. 2020 Sep;31(6):1827-1828. doi: 10.1097/SCS.0000000000006475.
Various surgical methods have been used to treat cryptotia; however, there is a drawback of these methods in that they leave a permanent scar. The authors describe a 7-year-old child who missed the optimal corrective time for cryptotia. Minimally invasive surgery was planned as a 3rd alternative to external splinting or invasive surgery by taking advantage of 2 methods. Silly putty was prefabricated as an auricular sulcus retainer, and fixation sutures between the deep dermis and temporal fascia were placed through small incisions along the future auricular sulcus. Then the prefabricated auricular sulcus retainer was maintained for 2 months. After 6 months, the corrected ear shape remained stable with the inconspicuous scar. With minimally invasive correction, a successful treatment effect can be expected while minimizing scarring in patients who are not expected to have a therapeutic effect with a simple reduction.
各种外科方法已被用于治疗隐耳,但这些方法都存在一个缺点,即会留下永久性疤痕。作者描述了一位 7 岁的患儿,其隐耳错过了最佳矫正时间。作者利用 2 种方法将微创外科手术作为外部夹板或侵入性手术的第 3 种选择。将橡皮泥预制为耳轮沟保持器,并通过沿未来耳轮沟的小切口在真皮深层和颞筋膜之间放置固定缝线。然后将预制的耳轮沟保持器维持 2 个月。6 个月后,矫正后的耳朵形状保持稳定,疤痕不明显。采用微创矫正,可以在预计单纯复位无效的患者中达到良好的治疗效果,同时最大限度地减少疤痕形成。