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一片带有“腿”的耳状薄膜。

An ear-shaped film with a "leg".

作者信息

Gu Luosha, Sun Pengfei, Jia Litao, Pan Bo, Jiang Haiyue

机构信息

Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

出版信息

Transl Pediatr. 2023 Jun 30;12(6):1130-1138. doi: 10.21037/tp-22-477. Epub 2023 Jun 20.

DOI:10.21037/tp-22-477
PMID:37427062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10326750/
Abstract

BACKGROUND

The reconstructed auricle projection is an essential element of ear reconstruction. The novel use of an ear-shaped film with one or two "legs" can successfully provide a healthy auricular contour, length, and width, hence improving the three-dimensional (3D) contour of the reconstructed auricle.

METHODS

Sixty-one patients (31 men and 30 women) with unilateral ear reconstruction (22 on the left and 39 on the right side) who underwent auricular reconstruction using the novel ear-shaped film at the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences between February 2021 and June 2022 were enrolled in this retrospective study.

RESULTS

Using the Jarque-Bera and paired -test, we found no statistically significant differences between the reconstructive and healthy ears in terms of length (5.93±0.56 . 5.89±0.49 cm, P=0.208), width (3.15±0.31 . 3.13±0.30 cm, P=0.224), height (2.48±0.33 . 2.51±0.36 cm, P=0.079), and perimeter (10.83±1.06 . 10.69±0.95 cm, P=0.164), using the novel ear-shaped film. The reconstructed auricle location was deemed satisfactory for all patients and their families.

CONCLUSIONS

The novel ear-shaped film may reflect the structure and height of the auricle during ear reconstruction surgery. Implementing this method is easy, and its impact is significant. This technique can be widely used in all types of otoplasties.

摘要

背景

重建耳廓投影是耳部重建的一个重要元素。新型使用带有一条或两条“腿”的耳形薄膜能够成功提供健康的耳廓轮廓、长度和宽度,从而改善重建耳廓的三维(3D)轮廓。

方法

本回顾性研究纳入了2021年2月至2022年6月在中国医学科学院整形外科医院使用新型耳形薄膜进行单侧耳部重建的61例患者(31例男性和30例女性),其中左侧22例,右侧39例。

结果

通过Jarque-Bera检验和配对检验,我们发现使用新型耳形薄膜后,重建耳与健侧耳在长度(5.93±0.56 vs. 5.89±0.49 cm,P = 0.208)、宽度(3.15±0.31 vs. 3.13±0.30 cm,P = 0.224)、高度(2.48±0.33 vs. 2.51±0.36 cm,P = 0.079)和周长(10.83±1.06 vs. 10.69±0.95 cm,P = 0.164)方面无统计学显著差异。所有患者及其家属均认为重建耳廓的位置令人满意。

结论

新型耳形薄膜在耳部重建手术中可能反映耳廓的结构和高度。该方法实施简便,效果显著。此技术可广泛应用于各类耳部整形手术。

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本文引用的文献

1
Retroposition of the Vestigial Cartilage in Patients With Microtia: A Novel Technique to Enhance Projection of the Reconstructed Ear.小耳畸形患者残迹软骨的回位:一种增强重建耳突出度的新方法。
J Craniofac Surg. 2022 Jun 1;33(4):1197-1200. doi: 10.1097/SCS.0000000000008162. Epub 2021 Oct 1.
2
A Hollow Tridimensional Silicone Template for Microtia Reconstruction and Postoperative Scar Compression.一种用于小耳畸形再造和术后瘢痕压迫的中空三维硅树脂模板。
Aesthetic Plast Surg. 2023 Jun;47(Suppl 1):111-113. doi: 10.1007/s00266-022-03043-x. Epub 2022 Aug 15.
3
Advancing Surgical Education: The Use of Artificial Intelligence in Surgical Training.
推进外科教育:人工智能在外科培训中的应用。
Am Surg. 2023 Jan;89(1):49-54. doi: 10.1177/00031348221101503. Epub 2022 May 15.
4
A novel method to accurately locate the reconstructed auricle.一种精确定位重建耳廓的新方法。
Transl Pediatr. 2022 Apr;11(4):487-494. doi: 10.21037/tp-21-453.
5
Cartilage tissue engineering by extrusion bioprinting utilizing porous hyaluronic acid microgel bioinks.利用多孔透明质酸微凝胶生物墨水通过挤出式生物打印进行软骨组织工程
Biofabrication. 2022 May 13;14(3). doi: 10.1088/1758-5090/ac6b58.
6
Anthropometric assessment of microtia patients' normal ears and discussion on expander selection in auricular reconstruction surgery.小耳畸形患者正常耳的人体测量评估及耳廓再造术中扩张器选择的探讨。
Sci Rep. 2022 Mar 16;12(1):4521. doi: 10.1038/s41598-022-08596-0.
7
Revision Operation of the Unsatisfactory Microtia Reconstruction With Autologous Costal Cartilage.自体肋软骨再造不满意小耳畸形的翻修手术
J Craniofac Surg. 2022;33(8):2468-2472. doi: 10.1097/SCS.0000000000008647. Epub 2022 Mar 14.
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Cell Tissue Bank. 2022 Sep;23(3):441-457. doi: 10.1007/s10561-022-09991-7. Epub 2022 Feb 1.
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