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保留软骨技术在招风耳畸形手术中的优势:一种新技术的比较

Advantages of the Cartilage-Sparing Technique in Prominent Ear Deformity Surgery: Comparison of a New Technique.

作者信息

Guvenmez Oguz, Zhanbaeva Anara Keneshovna, Keskin Huseyin, Zhanbaev Adylbek

机构信息

Otorhinolaryngology, Osh state University, Osh, KGZ.

Clinical Pharmacology, Osh State University, Osh, KGZ.

出版信息

Cureus. 2023 Aug 15;15(8):e43545. doi: 10.7759/cureus.43545. eCollection 2023 Aug.

Abstract

OBJECTIVE

Ear cartilage, crucial for maintaining ear shape and function, can sometimes undergo damage or deformation, requiring surgical intervention. This study aimed to compare the efficacy of a novel, less invasive cartilage-protective method with the traditional, more invasive cartilage-removal technique.

METHODS

Our study included 64 patients (128 ears). The first group of 32 patients (64 ears) received the new cartilage-protective technique, while the second group of an equal number of patients and ears underwent the traditional method. The newer technique endeavors to retain as much healthy cartilage as possible, addressing only the issue at hand, while the traditional technique requires the removal of a substantial portion of cartilage.

RESULTS

The cartilage-protective method demonstrated several notable advantages over the traditional one. First, it significantly reduced the operation duration due to its less invasive nature. Second, it caused less pain to the patients by minimizing trauma to surrounding tissues. Furthermore, this technique significantly lowered the risk of complications, probably due to the minimal disturbance or removal of healthy cartilage, hence reducing the likelihood of post-operative complications such as infections or deformities.

CONCLUSION

The findings of our study propose the cartilage-protective method as a superior treatment option when surgical intervention becomes necessary to repair or restore the function of ear cartilage. This technique, being less invasive, not only results in less pain for the patients but also reduces the risk of complications. It promotes quicker patient recovery without any loss of sensation in the ear. Thus, it could potentially revolutionize the approach to dealing with ear cartilage issues.

LEVEL OF EVIDENCE

Level four.

摘要

目的

耳软骨对于维持耳部形态和功能至关重要,但有时会受到损伤或变形,需要进行手术干预。本研究旨在比较一种新型的、侵入性较小的软骨保护方法与传统的、侵入性较大的软骨切除技术的疗效。

方法

我们的研究纳入了64例患者(128只耳朵)。第一组32例患者(64只耳朵)接受了新的软骨保护技术,而第二组同样数量的患者和耳朵则采用了传统方法。新技术致力于尽可能保留更多健康软骨,仅处理手头问题,而传统技术则需要切除大部分软骨。

结果

软骨保护方法相较于传统方法显示出几个显著优势。首先,由于其侵入性较小,显著缩短了手术时间。其次,通过将对周围组织的创伤降至最低,减轻了患者的疼痛。此外,该技术显著降低了并发症风险,这可能是因为对健康软骨的干扰或切除极少,从而降低了术后感染或畸形等并发症的发生可能性。

结论

我们的研究结果表明,当需要进行手术干预来修复或恢复耳软骨功能时,软骨保护方法是一种更优的治疗选择。这种技术侵入性较小,不仅能减轻患者疼痛,还能降低并发症风险。它能促进患者更快康复,且耳部不会出现任何感觉丧失。因此,它可能会彻底改变处理耳软骨问题的方法。

证据级别

四级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b6/10502322/b234da040392/cureus-0015-00000043545-i01.jpg

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