Department of Burns and Plastic Surgery, Children's Hospital of Chongqing Medical University, No. 136, Zhongshan 2nd Road; Ministry of Education Key Laboratory of Child Development and Disorders, Key Laboratory of Pediatrics in Chongqing (CSTC2009CA5002), Chongqing International Science and Technology Cooperation Center for Child Development and Disorders, Chongqing, China.
J Craniofac Surg. 2021;32(2):652-654. doi: 10.1097/SCS.0000000000007100.
Polyotia is a very rare auricular malformation, and only few cases have been reported to date. Polyotia has been ambiguously defined, and due to the instability of its shape and condition, no uniform surgical technique has been established up to now. Thus, it is necessary to standardize the diagnosis and treatment of polyotia. The aim of the present study was to present a new set of objective diagnostic criteria for discussion, and introduce our surgical design for polyotia.
A retrospective analysis was performed on 34 cases of polyotia, which were diagnosed and treated in our Plastic Surgery Department during a 3-year period from January 2016 to March 2019. The preoperative photographs, manifestations and operation records of these 34 cases were reviewed.
On the basis of the new set of objective diagnostic criteria, only 12 of 34 cases were diagnosed as polyotia, while the remaining 22 cases were diagnosed as accessory tragus. Polyotia was redefined as the presence of a broad-based accessory auricle in the tragus area along with accessory cavitas conchae similar to cavitas conchae. The new surgical design emphasized the use of cartilage and skin to fill up the concavity and reconstruct the tragus.
The diagnosis of polyotia was presented on the basis of a new set of objective criteria, which include an accessory auricle and accessory cavitas conchae. The use of cartilage and skin to fill up the concavity and reconstruct the tragus were the emphases.
多耳畸形是一种非常罕见的耳部畸形，迄今为止，仅有少数病例报道。多耳畸形的定义一直存在模糊性，由于其形状和状况的不稳定性，目前尚未建立统一的手术技术。因此，有必要规范多耳畸形的诊断和治疗。本研究旨在提出一套新的客观诊断标准进行讨论，并介绍我们对多耳畸形的手术设计。
对 2016 年 1 月至 2019 年 3 月期间在我院整形科诊断和治疗的 34 例多耳畸形患者进行回顾性分析。回顾分析了这 34 例患者的术前照片、临床表现和手术记录。
根据新的客观诊断标准，只有 12 例被诊断为多耳畸形，而其余 22 例被诊断为副耳。多耳畸形被重新定义为在耳屏区域存在宽基的副耳，并伴有类似鼓室的副鼓室。新的手术设计强调使用软骨和皮肤填充凹陷并重建耳屏。
本研究基于新的客观标准提出了多耳畸形的诊断标准，包括副耳和副鼓室。强调使用软骨和皮肤填充凹陷并重建耳屏是手术的重点。
