Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing.
Department of Plastic Surgery, Zibo Central Hospital.
J Craniofac Surg. 2022;33(8):2609-2612. doi: 10.1097/SCS.0000000000008714. Epub 2022 Aug 2.
Cup-shaped ear is a common congenital auricle deformity. There are many specific surgical methods, such as V-Y method, Barsky method, Musgrave method, etc., but there is no unified treatment method. The authors used the outer helix reconstruction method for cup-shaped ear and achieved remarkable therapeutic effects.
The authors performed the outer helix reconstruction on 30 patients with cup-shaped ear. The authors followed up the patients after the stage II operation. The authors used the SPSAU data science analysis platform (https://spssau.com/) for statistical analysis of the data.
The mean follow-up time was 14.43±4.5 months. The mean preoperative perimeter of auricle was 8.19±0.56 cm. The mean postoperative perimeter of auricle was 10.82±0.49 cm. The mean perimeter of the healthy auricle was 10.89±0.44 cm. Through data analysis, the authors found that the comparison between preoperative and postoperative auricle perimeters was statistically significant (P<0.05). The comparison between postoperative auricle perimeter and the perimeter of the healthy auricle was not statistically significant (P>0.05). In terms of postoperative satisfaction of patients and their families, the satisfaction rate was 100%. In terms of postoperative complications, there were 1 case of incision dehiscence, 0 cases of incision infection, 2 cases of incision hematoma, and 0 cases of postoperative skin flap ischemia and necrosis.
The outer helix reconstruction method is suitable for most cup-shaped ears, and the operation is simple and the effect is remarkable. It is worthy of promotion and application in plastic surgery clinical.
杯状耳是一种常见的先天性耳廓畸形，有多种特定的手术方法，如 V-Y 法、Barsky 法、Musgrave 法等，但尚无统一的治疗方法。作者采用外耳轮重建法治疗杯状耳，取得了显著的疗效。
作者对 30 例杯状耳患者采用外耳轮重建法进行治疗。二期手术后对患者进行随访，采用 SPSAU 数据科学分析平台（https://spssau.com/）对数据进行统计分析。
平均随访时间为 14.43±4.5 个月。术前耳廓周径平均值为 8.19±0.56cm，术后耳廓周径平均值为 10.82±0.49cm，健侧耳廓周径平均值为 10.89±0.44cm。数据分析显示，术前与术后耳廓周径比较，差异有统计学意义（P<0.05）；术后耳廓周径与健侧耳廓周径比较，差异无统计学意义（P>0.05）。术后患者及其家属对治疗效果满意度为 100%。术后并发症：切口裂开 1 例，切口感染 0 例，切口血肿 2 例，无术后皮瓣缺血坏死。
外耳轮重建法适用于大多数杯状耳，手术操作简单，效果显著，在整形美容临床中值得推广应用。
