Weerda H
Laryngol Rhinol Otol (Stuttg). 1979 Mar;58(3):242-51.
I. Correction of the prominent ear. A modification of the Mustarde-technique is reported. We mill with a diamonddrill two rims, one above and a second beneath the new anthelix. So we are able to form anthelix and helix to get a smooth contour. II. Restoration of superior helix. 1. Using the method reported by Cronin (1953) it is necessary to plan the reconstructed part a little bit larger than the normal contour. By shrinking of the skin and resorption of the incorporated cartilage we get normal proportions half a year later. 2. Using the method by Crikelair (1956) we took the auriculo-cephalic flap as a composite graft from the concha. The defects could be closed primarily without using a free graft. III. Replantation of the amputated auricle. We used the method, reported by Arfai (1963). Four operations were necessary to get a satisfying result.
一、招风耳矫正。报告了一种对Mustarde技术的改良方法。我们用金刚砂钻头在新耳轮上方和下方钻出两条边缘。这样我们就能塑造耳轮和耳廓,使其轮廓平滑。二、耳廓上缘修复。1. 使用克罗宁(1953年)报告的方法,有必要将重建部分规划得比正常轮廓稍大一点。通过皮肤收缩和植入软骨的吸收,半年后我们能得到正常比例。2. 使用克里克莱尔(1956年)的方法,我们从耳甲采取耳头瓣作为复合移植物。缺损可直接闭合,无需使用游离移植物。三、离断耳廓再植。我们采用了阿尔法伊(1963年)报告的方法。需要进行四次手术才能获得满意效果。