Graham K E, Gault D T
Centre for Plastic and Reconstructive Surgery, Mount Vernon and Watford Hospitals NHS Trust, Northwood, UK.
Br J Plast Surg. 1997 Jan;50(1):47-57. doi: 10.1016/s0007-1226(97)91283-2.
The use of endoscopy in facial aesthetic surgery, especially the browlift, is becoming well accepted. We report on the use of an endoscopic assisted technique to correct prominent ears in 10 patients. The instruments were inserted through scalp incisions. No skin excision was performed. The posterior (medial) cartilage surface was weakened by abrasion with a custom-made abrader to create a new antihelical fold. Nonabsorbable sutures were inserted through one or two postauricular stab incisions to appose the scaphal cartilage and the mastoid fascia to hold the new fold. Surgical technique, results and advantages of the operation are discussed. A new classification of prominent ears was used in patient selection for the procedure.
内窥镜在面部美容手术，尤其是额部提升术中的应用正逐渐被广泛接受。我们报告了一种内窥镜辅助技术用于矫正10例招风耳患者的情况。器械通过头皮切口插入。未进行皮肤切除。使用定制的研磨器对耳后（内侧）软骨表面进行研磨以削弱其强度，从而形成新的对耳轮皱襞。通过一或两个耳后小切口插入不可吸收缝线，使耳舟软骨与乳突筋膜贴合以固定新形成的皱襞。讨论了手术技术、结果及该手术的优点。在该手术的患者选择中采用了一种新的招风耳分类方法。
