Saglik Bilimleri Universitesi Haydarpasa Numune Research and Training Hospital.
Rumeli University Hospital, Istanbul, Turkey.
J Craniofac Surg. 2022;33(5):1458-1461. doi: 10.1097/SCS.0000000000008335. Epub 2021 Oct 27.
Prominent ear is 1 of the most common congenital deformities of the ear. Incidence is reported as approximately 5%. This deformity can classically be the result of antihelix insufficiency, overprojection of concha or combination of both. Less frequently, folded or overprojectile ear lobule can aggravate the deformity. Surgical techniques can be aimed at concha, antihelix formation, lobule positioning. In our study, postoperative results for the combination of suture otoplasty and perichondrioadipodermal flap techniques in prominent ear surgery is discussed in light of the recent literature.
Forty-nine patients that were operated for prominent ear deformity in our clinic between 2010 and 2015 were evaluated. Anatomic structures that cause the anomaly was analyzed by photographing concha-scaphoid angle, antithetical fold absence or presence, position of the ear lobule, conchal depth, size of the auricula, and positioning Frankfort Plane parallel to the ground. The patients were photographed preoperatively, at postoperative first week and postoperative sixth month, respectively. Comparison of age, surgical technique, surgical complications, necessity for revision surgery, additional procedures, follow up time, preoperative, and postoperative helix-mastoid bone distance were evaluated.
Forty-nine patients have been evaluated. Thirty-one of these patients were female, whereas 18 were male. Age of these patients ranged between 6 and 37. Operations were performed in 47 right side ears, and 44 left side ears (97% bilateral and 7% unilateral otoplasty). Preoperative helix-mastoid bone distance ranged between 21 and 33 mm (mean 26.77), whereas postoperative helix-mastoid bone distance was measured between 12 and 22 mm (mean 16.26). Compared to the preoperative values, helix-mastoid distance difference was statistically significant (P < 0.05).
Asymmetry and recurrence are the most common late complications of prominent ear surgeries. Perichondrioadipodermal flap can be safely added to the combined surgical techniques protecting the cartilage support, therefore, reducing complication rates, with satisfying results.
招风耳是最常见的耳部先天性畸形之一，发病率约为 5%。这种畸形通常是由于对耳轮发育不全、耳甲过度突出或两者兼有引起的。较少见的情况下，折叠或突出的耳垂也会加重畸形。手术技术可以针对耳甲、对耳轮成形、耳垂定位。在我们的研究中，结合缝线耳成形术和软骨膜脂肪皮瓣技术治疗招风耳畸形的术后结果，结合最新文献进行了讨论。
对 2010 年至 2015 年间在我院行招风耳畸形手术的 49 例患者进行评估。通过拍摄耳甲-舟状窝角、对耳轮褶皱缺失或存在、耳垂位置、耳甲深度、耳廓大小、法兰克福平面与地面平行等，分析导致畸形的解剖结构。分别在术前、术后第 1 周和术后第 6 个月对患者进行拍照。比较年龄、手术技术、手术并发症、是否需要再次手术、是否需要附加手术、随访时间、术前和术后耳甲-乳突骨距离。
共评估了 49 例患者。其中 31 例为女性，18 例为男性。这些患者的年龄在 6 至 37 岁之间。47 例为右侧耳手术，44 例为左侧耳手术（97%为双侧，7%为单侧耳成形术）。术前耳甲-乳突骨距离为 21 至 33mm（平均 26.77），术后耳甲-乳突骨距离为 12 至 22mm（平均 16.26）。与术前值相比，耳甲-乳突距离差异有统计学意义（P<0.05）。
不对称和复发是招风耳手术最常见的晚期并发症。软骨膜脂肪皮瓣可安全地添加到联合手术技术中，保护软骨支撑，从而降低并发症发生率，获得满意的效果。
