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改善生活质量的蝙蝠耳矫正步骤及效果

Bat Ear Correction Steps and Outcomes for Better Life Support.

作者信息

Shawky Mahmoud Ahmed, Shawky Mohamed Ahmed, Zaghloul Ahmed Ibrahim, Zakaria Nada Zakaria

机构信息

Al-Azhar University, New Damietta, Egypt.

Damietta University, New Damietta, Egypt.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4393-4404. doi: 10.1007/s12070-024-04872-9. Epub 2024 Jul 20.

Abstract

An unusually projecting human ear is known as a prominent ear, otapostasis, or bat ear. It might be both bilateral and unilateral. The scapha and antihelix of the big concha are not well formed. It is the outcome of cartilage deformity that occurred during early ear development in utero. After the child reaches five years old, the abnormality can be corrected at any time. In order to prevent psychological suffering, the procedure should ideally be performed as soon as possible. Otoplasty correction is reshaping the ear cartilage to bring the ear closer to the side of the head. The cartilage is reshaped, but the skin is left in place. Hearing remains unaffected by the operation. It is mainly done for aesthetic reasons. Although they are uncommon, the post-operative consequences from the operation include hematoma development, keloid formation, infection, and asymmetry in the ears. Otoplasty is a cosmetic operation that involves permanent sutures to alter the size, shape, or location of the ear. The main purpose of otoplasty is to treat promin auris, or bulging ears. Promin auris, the principal indication for otoplasty, is the subject of this review. The indications, contraindications, and method utilized in otoplasty are reviewed in this exercise, which also emphasizes the need of pre- and post-operative care for patients having this surgery. Otoplasty results are generally lifelong and will improve the self-confidence. The goals of otoplasties are to make the ears appear more natural in comparison to the head and help with the overall contour of the ears. Final ear surgery results will be visible after a two week recovery period, with small improvements appearing for up to 12 months post-procedure. A proper understanding of the diagnosis, indications, and surgical techniques will lead to positive outcomes in otoplasty.

摘要

异常突出的人耳被称为招风耳、耳廓突出或蝙蝠耳。它可能是双侧的,也可能是单侧的。大耳甲的耳舟和对耳轮发育不良。这是子宫内早期耳部发育过程中软骨畸形的结果。孩子五岁后,这种异常可在任何时候矫正。为防止心理痛苦,理想情况下应尽早进行手术。耳整形矫正就是重塑耳软骨,使耳朵更贴近头部侧面。软骨被重塑,但皮肤保持原位。手术不影响听力。主要是出于美观原因进行该手术。虽然不常见,但手术后的后果包括血肿形成、瘢痕疙瘩形成、感染和耳朵不对称。耳整形是一种美容手术,涉及使用永久性缝线来改变耳朵的大小、形状或位置。耳整形的主要目的是治疗招风耳,即耳朵突出。招风耳是耳整形的主要适应症,也是本综述的主题。本练习回顾了耳整形中使用的适应症、禁忌症和方法,同时强调了对接受该手术患者进行术前和术后护理的必要性。耳整形的效果通常是永久性的,会增强自信心。耳整形的目标是使耳朵与头部相比显得更自然,并改善耳朵的整体轮廓。术后两周恢复期后最终的耳部手术效果将可见,术后长达12个月会有细微改善。正确理解诊断、适应症和手术技术将使耳整形取得积极效果。

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本文引用的文献

5
The psychological, social and educational impact of prominent ears: A systematic review.招风耳的心理、社会和教育影响:系统评价。
J Plast Reconstr Aesthet Surg. 2020 Dec;73(12):2111-2120. doi: 10.1016/j.bjps.2020.05.075. Epub 2020 May 26.
8
Otoplasty techniques in children: a comparative study of outcomes.儿童耳部整形技术:结果的比较研究
ANZ J Surg. 2018 Oct;88(10):1071-1075. doi: 10.1111/ans.14386. Epub 2018 May 8.
9
Cosmetic Otoplasty.美容耳整形术
Facial Plast Surg Clin North Am. 2018 Feb;26(1):19-29. doi: 10.1016/j.fsc.2017.09.004.

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