Gu Luosha, Sun Pengfei, Jia Litao, Pan Bo, Jiang Haiyue
Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Transl Pediatr. 2023 Jun 30;12(6):1130-1138. doi: 10.21037/tp-22-477. Epub 2023 Jun 20.
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.
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.
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.
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.
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。
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。
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。
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。