Bellinvia Giacomo, Bellinvia Pietro
Aesthet Surg J Open Forum. 2020 Jan 30;2(1):ojaa004. doi: 10.1093/asjof/ojaa004. eCollection 2020 Jan.
The otoplasty technique, independently conceived by Kaye and Lewis, is a simple and effective method for correcting prominent ears with an underdeveloped antihelical fold, but it is inappropriate for correcting ears with conchal hypertrophy.
To describe an anterior approach to otoplasty that can correct prominent ears, even for those with conchal hypertrophy.
The 100 most recent otoplasty interventions to correct prominent ears were analyzed retrospectively. Indications, aesthetic results, complications and corrections were evaluated.
The 100 patients who underwent otoplasty included 40 males and 60 females with a mean age of 18 years (range, 8-62 years). Sixty-five patients underwent correction of an underdeveloped antihelical fold, 30 underwent correction of conchal hypertrophy and 5 required resection of a conchal cartilage crescent. Intervention was bilateral in 96 patients and monolateral in 4 patients. Two patients required secondary corrections, including 1 requiring monolateral correction for a trauma after 10 days. No patient experienced hematomas or infections, despite the absence of antibiotic coverage.
This minimally invasive otoplasty technique is a simple, quick, and effective method, even in patients with conchal hypertrophy.
凯伊和刘易斯各自独立构思的耳整形技术,是一种矫正耳轮折叠不发达的招风耳的简单有效方法,但不适用于矫正耳甲肥大的耳朵。
描述一种耳整形的前路手术方法,该方法可矫正招风耳,即使是耳甲肥大的患者。
回顾性分析最近100例矫正招风耳的耳整形手术。评估适应症、美学效果、并发症及矫正情况。
接受耳整形手术的100例患者中,男性40例,女性60例,平均年龄18岁(范围8 - 62岁)。65例患者接受耳轮折叠不发达的矫正,30例接受耳甲肥大的矫正,5例需要切除耳甲软骨新月形部分。96例患者为双侧手术,4例为单侧手术。2例患者需要二次矫正,其中1例在10天后因外伤需要单侧矫正。尽管未使用抗生素预防,无患者出现血肿或感染。
这种微创耳整形技术是一种简单、快速且有效的方法,即使对于耳甲肥大的患者也是如此。