Guo Y, Li C L, Fu Y Y, Zhang T Y
Department of Facial Plastic and Reconstructive Surgery, ENT institute, Eye & ENT Hospital, NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai 200031, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Apr 7;56(4):323-328. doi: 10.3760/cma.j.cn115330-20200428-00345.
To investigate the effect and satisfaction of using the postauricular tongue-shaped flap combined with deep fascia suspension in correcting severe cup ear malformation. Between August 2018 and November 2019, nine cases (10 ears) of Tanzer type Ⅲ severe cup ear malformation were treated with postauricular tongue-shaped flap combined with deep fascia suspension in this study. Nine cases primary healed without hematoma, infection or skin necrosis, except one case with postoperative incision dehiscence. The cup ear deformity was significantly improved after the operation, the helix was intact, and the anti-helix was visible. The length, width, and circumference of the auricle were significantly enlarged three months following surgeries. There were no other complications except 1 patient recurrence 12 months after surgery. The patients were highly satisfied with the results of the surgery. Although the aesthctic of the reconstructed auricle is insufficient, this new technology makes full use of the autologous auricle tissue to correct severe cup ear malformation with good results.
探讨耳后舌形皮瓣联合深筋膜悬吊矫正重度杯状耳畸形的效果及满意度。2018年8月至2019年11月，本研究对9例（10耳）TanzerⅢ型重度杯状耳畸形患者采用耳后舌形皮瓣联合深筋膜悬吊治疗。9例患者一期愈合，无血肿、感染或皮肤坏死，仅1例术后切口裂开。术后杯状耳畸形明显改善，耳轮完整，对耳轮可见。术后3个月耳廓的长度、宽度和周长均明显增大。除1例患者术后12个月复发外，无其他并发症。患者对手术效果高度满意。虽然再造耳廓的美观度欠佳，但该新技术充分利用自体耳廓组织矫正重度杯状耳畸形，效果良好。
