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改良无缝合前入路耳整形术:描述与病例系列

Modified Anterior Scoring Otoplasty Without Sutures: Description and Case Series.

作者信息

Grella Roberto, Molle Marcello, Crisci Erminia, Grella Elisa, Nicoletti Maria Maddalena, Pieretti Gorizio

机构信息

Plastic Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 80138, Naples, Italy.

Dermatology Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 80138, Naples, Italy.

出版信息

Aesthetic Plast Surg. 2025 Jun;49(11):2949-2955. doi: 10.1007/s00266-025-04763-6. Epub 2025 Mar 31.

Abstract

BACKGROUND AND INTRODUCTION

Ear deformities constitute a condition with a high psychological impact in both children/adolescents and adults. In anthelix correction, the use of cartilage scoring techniques, mainly based on the Chongchet technique, was observed. These techniques require neoanthelix maintenance sutures. In this article, we present a variation of the anterior cartilage scoring technique according to Chongchet without the use of sutures.

MATERIAL AND METHOD

A retrospective analysis was conducted on 50 patients who underwent otoplasty using a variation of the anterior scoring technique between 2015 and 2023. Data on recurrence rates and complications were collected.

RESULTS

No recurrences were observed during the follow-up period, indicating the stability of the results achieved with the modified technique. Abnormal scars were observed in 16% of cases, while no major complications were reported.

DISCUSSION AND CONCLUSION

The modified anterior scoring otoplasty technique described represents a promising alternative to traditional approaches, offering stable and aesthetically pleasing results without the need for sutures.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .

摘要

背景与引言

耳部畸形对儿童/青少年及成年人都会造成较大的心理影响。在对耳轮矫正中,观察到主要基于Chongchet技术的软骨划痕技术的应用。这些技术需要新对耳轮维持缝线。在本文中,我们介绍了一种不使用缝线的、基于Chongchet技术的前软骨划痕技术的变体。

材料与方法

对2015年至2023年间采用前划痕技术变体进行耳整形术的50例患者进行回顾性分析。收集复发率和并发症的数据。

结果

随访期间未观察到复发情况,表明改良技术取得的结果具有稳定性。16%的病例出现异常瘢痕,未报告重大并发症。

讨论与结论

所描述的改良前划痕耳整形术是传统方法的一种有前景的替代方法,无需缝线即可提供稳定且美观的效果。

证据等级IV:本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述,请参阅目录或作者在线指南www.springer.com/00266

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