Department of Plastic Surgery, Affiliated Nanhua Hospital, University of South China, Hengyang City, Hunan Province, China.
J Craniofac Surg. 2023 Oct 1;34(7):e696-e698. doi: 10.1097/SCS.0000000000009603. Epub 2023 Aug 15.
Tanzer group IIB-constricted ear is described as a deformity of the helix, antihelix, or scapha. Deficiency of the auricular skin and cartilage is a key point in the reconstruction of the cartilaginous framework. Traditionally, the treatment of a constricted ear mainly includes 2 aspects: correction of cartilage deformity and restoration of skin volume deficiency. By mimicking the suspension principle of a cable bridge, our technique only requires adjustment of the spatial directions and mechanical forces between the 2 flaps to achieve an aesthetic effect. The authors were able to avoid harvesting the costal cartilage. The desired ear shape was obtained immediately postoperatively. Therefore, Vaseline gauze was not applied and was modeled along the scapha and antihelix. Expansion of the ear was remarkable in both horizontal and vertical lengths. Our technique causes less damage, less scarring, shorter operation time, fewer complications, faster rehabilitation, and no delays.
谭泽尔 IIB 型束状耳畸形被描述为耳轮、对耳轮或舟状窝的畸形。耳廓皮肤和软骨的缺损是重建软骨支架的关键。传统上，束状耳的治疗主要包括两个方面：矫正软骨畸形和修复皮肤量不足。通过模拟斜拉桥的悬吊原理，我们的技术仅需调整两个皮瓣之间的空间方向和力学力，即可达到美学效果。作者可以避免取肋软骨。术后即刻即可获得理想的耳朵形状。因此，没有使用凡士林纱布，而是沿着舟状窝和对耳轮塑形。耳朵在水平和垂直长度上的扩张都很显著。我们的技术造成的损伤更小，疤痕更小，手术时间更短，并发症更少，康复更快，无延迟。
