Qu Jianwen, Yang Yang, Li Chuan, Yu Xiaobo, Chang Jin, Zhuo Lei, Pan Bo
Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Plastic Surgery Department, Affiliated Hospital of Hebei Engineering University, Handan, Hebei, China.
J Plast Reconstr Aesthet Surg. 2025 Mar;102:306-312. doi: 10.1016/j.bjps.2025.01.069. Epub 2025 Jan 31.
This study introduces a construction method for a multilayered three-dimensional costal cartilage auricular framework and retrospectively analyzed its clinical effectiveness in auricular reconstruction with an expanded postauricular skin flap.
We designed multiple techniques for constructing a multilayered three-dimensional costal cartilage auricular framework to enhance stability and aesthetic outcomes. Postoperative follow-up included a comprehensive morphological assessment of the reconstructed ears, as well as evaluations of postoperative complications and patient satisfaction.
The study collected data on 75 patients who underwent auricular reconstruction in our department between January 2021 and December 2022, totaling 81 ears. During the follow-up period of 1 to 2 years postoperatively, plastic surgeons conducted a comprehensive morphological assessment of the reconstructed ears. Of these, 64 ears (79.0%) were rated as having good morphology, 13 ears (16.0%) as moderate, and 4 ears (4.9%) as poor. A survey on patient satisfaction revealed that 62 patients (82.7%) were satisfied with their reconstructed ears, 11 patients (14.7%) found the results acceptable, and 2 patients (2.7%) deemed them unacceptable. Postoperative complications included infections in 2 ears (2.5%), hematoma in 1 ear (1.2%), cartilage framework exposure in 3 ears (3.7%), and hypertrophic scarring in 5 ears (6.2%). There were no instances of skin flap necrosis, frame deformation, absorption, or wire exposure during the follow-up period.
The multilayered three-dimensional costal cartilage auricular framework we constructed for auricular reconstruction with an expanded postauricular skin flap resulted in the majority of reconstructed ears maintaining a satisfactory shape, with clear substructures, lifelike morphology, and strong three-dimensionality. Patient satisfaction with the surgical outcomes was high, achieving good stability and aesthetic effects.
本研究介绍了一种多层三维肋软骨耳廓支架的构建方法，并回顾性分析了其在带蒂耳后扩张皮瓣耳廓再造术中的临床效果。
我们设计了多种构建多层三维肋软骨耳廓支架的技术，以提高稳定性和美学效果。术后随访包括对再造耳进行全面的形态学评估，以及对术后并发症和患者满意度的评估。
本研究收集了2021年1月至2022年12月在我科接受耳廓再造术的75例患者的数据，共81只耳朵。术后1至2年的随访期间，整形外科医生对再造耳进行了全面的形态学评估。其中，64只耳朵（79.0%）形态良好，13只耳朵（16.0%）中等，4只耳朵（4.9%）较差。一项患者满意度调查显示，62例患者（82.7%）对再造耳满意，11例患者（14.7%）认为结果可接受，2例患者（2.7%）认为不可接受。术后并发症包括2只耳朵感染（2.5%）、1只耳朵血肿（1.2%）、3只耳朵软骨支架外露（3.7%）和5只耳朵瘢痕增生（6.2%）。随访期间未出现皮瓣坏死、支架变形、吸收或钢丝外露的情况。
我们构建的用于带蒂耳后扩张皮瓣耳廓再造术的多层三维肋软骨耳廓支架，使大多数再造耳保持了满意的形状，亚结构清晰，形态逼真，立体感强。患者对手术效果的满意度较高，取得了良好的稳定性和美学效果。
