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两阶段手术治疗杯状耳:外耳轮重建法。

A 2-Stage Surgical Method to Treat Cup-Shaped Ears: The Outer Helix Reconstruction Method.

机构信息

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.

出版信息

J Craniofac Surg. 2022;33(8):2609-2612. doi: 10.1097/SCS.0000000000008714. Epub 2022 Aug 2.

Abstract

BACKGROUND

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.

MATERIALS AND METHODS

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.

RESULT

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.

CONCLUSION

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.

摘要

背景

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。

材料与方法

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。

结果

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。

结论

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。

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