Liu X F, Gong M T, Zhao L N, Xie S M, Zhou T K
Department of Pastic and Cosmetic Surgery, Xuzhou Central Hospital, the Affiliated Xuzhou Hospital of Medical School of Southeast University,Xuzhou 221009, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Oct 7;58(10):1005-1008. doi: 10.3760/cma.j.cn115330-20220913-00559.
To explore the ideal way of using the stereoscopic unequal S-plasty in reconstruction of the congenital hypoplastic ear lobe cleft with soft tissue deficiency. Data of 10 patients with the congenital hypoplastic ear lobe cleft associated with soft tissue deficiency who were treated using the stereoscopic unequal S-plasty in the plastic cosmetic surgery of Xuzhou Central Hospital from Aug 2018 to Aug 2022 were retrospectively analyzed. Six patients were male, 4 were female. Their ages ranged from 6 years to 19 years old, with a mean age of 13 years. Lobe deficiency size ranged from 0.8 cm×0.5 cm to 1.2 cm×1.0 cm. The post-operation flaps had no venous congestion, infection or necrosises. During 3 to 12 months of follow-up, the technique made the shape of the ear lobe smoother. The incisions left inconspicuous scars. The result was satisfactory in terms of matching the contralateral normal ear lobe in shape and symmetry. Doctors and patients were satisfied with the results. The stereoscopic unequal S-plasty is an effective way to correct the the severe congenital ear lobe deformity. The good result,simple manipulation and short operation time are the advantages of this method.
探讨立体不对称S形皮瓣法在修复先天性耳垂裂伴软组织缺损中的理想应用方式。回顾性分析2018年8月至2022年8月在徐州市中心医院整形美容外科采用立体不对称S形皮瓣法治疗的10例先天性耳垂裂伴软组织缺损患者的资料。其中男性6例，女性4例。年龄6岁至19岁，平均年龄13岁。耳垂缺损大小为0.8 cm×0.5 cm至1.2 cm×1.0 cm。术后皮瓣无静脉淤血、感染及坏死。随访3至12个月，耳垂外形变平滑，切口瘢痕不明显，与对侧正常耳垂在形态和对称性方面匹配良好，医患双方对结果满意。立体不对称S形皮瓣法是矫正重度先天性耳垂畸形的有效方法，该方法效果良好、操作简单、手术时间短。
