Private Practice ENT/Plastic Operations, Ettlingen, Germany.
Facial Plast Surg Aesthet Med. 2023 May-Jun;25(3):264-266. doi: 10.1089/fpsam.2022.0261. Epub 2022 Dec 26.
Minimally invasive otoplasty (MIO) is an elegant and well-proven technique for correcting protruding ears as the most frequent form of first-degree auricular dysplasia. It is well suited for the majority of patients with prominauris who regularly present to a facial plastic surgery practice. Although there are several variations of the MIO, all MIO techniques differ from traditional otoplasty techniques in that they avoid a large retroauricular skin incision and excision. This distinction considerably diminishes the risk of hypertrophic scars and keloids. The best elements of traditional otoplastic techniques can be utilized with much smaller incisions, respectively, even without incisions at all and with new surgical instruments to achieve an effective and precise surgical result. The MIO technique described herein enables all steps of cartilage work through the small retroauricular skin incision that Kaye already suggested in the very first publications of a closed otoplasty technique 1967.
微创耳成形术(MIO)是一种优雅且经过充分验证的技术,可用于矫正最常见的一级耳廓发育不良——外耳突出。它非常适合大多数经常到面部整形外科就诊的招风耳患者。虽然 MIO 有几种不同的方法,但与传统的耳成形术技术不同,所有 MIO 技术都避免了大的耳后皮肤切口和切除。这种区别大大降低了增生性瘢痕和瘢痕疙瘩的风险。传统耳成形技术的最佳元素可以用更小的切口分别利用,甚至完全不切口,结合新的手术器械,以达到有效的、精确的手术效果。本文所描述的 MIO 技术使软骨操作的所有步骤都能通过 Kaye 早在 1967 年首次发表的封闭式耳成形术技术的出版物中就已经提出的小耳后皮肤切口进行。