Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
J Craniofac Surg. 2023 Sep 1;34(6):1855-1858. doi: 10.1097/SCS.0000000000009291. Epub 2023 Mar 20.
A constricted ear is a deformity that is distinguished by curling of the upper portion of the ear, which includes the helix, scapha, and antihelix. The treatment for severely constricted ears seems to be quite invasive. To reduce invasiveness and fully utilize the folded cartilage, the authors used a helix costal cartilage scaffold combined with a single V-Y advanced flap in the correction of Tanzer type IIB constricted ear deformity to investigate the clinical effect.
From 2020 to 2021, autologous costal cartilage helix stent combined with local V-Y advanced flap was applied to correct the constricted ear malformation in 18 patients admitted to the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences.
All patients were followed for a duration of 6 to 12 months (average 7 months). Reconstructed auricles were cosmetically satisfying, with a natural-looking helix and enlarged cavum conchae cavity, as well as auricle sizes that were close to normal and near symmetry between both ears.
With satisfactory clinical results, our technique can be used to repair types IIB cup ear deformities. It has a broad range of practical applications.
狭缩耳是一种畸形，其特征是耳廓的上部卷曲，包括耳轮、耳甲艇和对耳轮。对于严重狭缩耳的治疗似乎相当具有侵入性。为了降低侵入性并充分利用折叠的软骨，作者在矫正 Tanzer ⅡB 型狭缩耳畸形时使用了耳轮肋软骨支架结合单个 V-Y 推进皮瓣，以研究其临床效果。
2020 年至 2021 年，中国医学科学院整形外科医院收治的 18 例狭缩耳畸形患者采用自体肋软骨耳轮支架联合局部 V-Y 推进皮瓣进行矫正。
所有患者均随访 6 至 12 个月（平均 7 个月）。重建的耳廓美容效果满意，耳轮外形自然，耳甲腔腔增大，耳廓大小接近正常，双耳对称接近。
本技术具有满意的临床效果，可用于修复ⅡB 型杯状耳畸形。它具有广泛的实际应用。
