Department of Burn and Plastic Surgery Children's Hospital of Chongqing Medical University, PR China; National Clinical Research Center for Child Health and Disorders, PR China; Ministry of Education Key Laboratory of Child Development and Disorders, PR China; Chongqing Key Laboratory of Pediatrics, PR China.
Department of Burn and Plastic Surgery Children's Hospital of Chongqing Medical University, PR China; National Clinical Research Center for Child Health and Disorders, PR China; Ministry of Education Key Laboratory of Child Development and Disorders, PR China; Chongqing Key Laboratory of Pediatrics, PR China.
J Plast Reconstr Aesthet Surg. 2023 Jul;82:229-234. doi: 10.1016/j.bjps.2023.04.028. Epub 2023 Apr 18.
Because of the various types and complexity of congenital tragal malformation, tragal reconstruction is one of the most challenging objects in otoplasty. This study aimed to introduce a surgical technique of cartilage transposition and anchoring that was used to construct a cartilage framework for natural tragus reconstruction.
A retrospective study was performed for 49 patients who underwent cartilage transposition and anchoring from January 2020 to August 2022. Gender, age, malformation, complication, operation record, preoperative and postoperative photograph, score of esthetic outcomes (4 = excellent, 3 = good, 2 = fair, 1 = poor), and Vancouver Scar Assessment score were reviewed.
Twenty-six boys and 23 girls with an average age of 35.79 ± 32.97 months underwent revision. The follow-up time was 13.87 ± 6.57 months. No complications were noted. The average score of esthetic outcomes and the Vancouver Scar Assessment score were 3.94 and 0.08 in the postoperative period, respectively. The overall effect was satisfactory.
Postoperative results showed that cartilage transposition and anchoring were effective techniques for the reconstruction of congenital tragal malformation. The use of cartilage and fascia tissue around the tragus to fill up the depression and reconstruct the tragus were the emphases. The remolded tragus showed less scars and had the similar appearance like the natural tragus of the patient.
由于先天性耳舟畸形的类型多样且复杂，耳舟重建是耳成形术中最具挑战性的对象之一。本研究旨在介绍一种软骨转位和锚固的手术技术，用于构建自然耳舟重建的软骨框架。
回顾性分析 2020 年 1 月至 2022 年 8 月期间 49 例行软骨转位和锚固术的患者。分析性别、年龄、畸形、并发症、手术记录、术前和术后照片、美学效果评分（4=优秀，3=良好，2=一般，1=差）和温哥华瘢痕评估评分。
26 名男性和 23 名女性，平均年龄为 35.79±32.97 个月，均为修复术。随访时间为 13.87±6.57 个月。无并发症发生。术后平均美学效果评分为 3.94 分，温哥华瘢痕评估评分为 0.08 分，整体效果满意。
术后结果表明，软骨转位和锚固是先天性耳舟畸形重建的有效技术。利用耳舟周围的软骨和筋膜组织填充凹陷，重建耳舟是重点。重塑的耳舟疤痕较少，外观与患者自身的自然耳舟相似。
