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采用改良前侧评分技术矫正招风耳。

Correction of the protruding ear with a modified anterior scoring technique.

作者信息

Lazaridis N, Tilaveridis I, Dimitrakopoulos I, Karakasis D

机构信息

Department of Oral and Maxillofacial Surgery, University Clinic, G. Papanikolaou General Hospital, Thessaloniki, Greece.

出版信息

J Oral Maxillofac Surg. 1998 Mar;56(3):307-13. doi: 10.1016/s0278-2391(98)90105-7.

DOI:10.1016/s0278-2391(98)90105-7
PMID:9496841
Abstract

PURPOSE

This article describes a modified anterior scoring technique to provide natural-looking results after correction of the protruding ear. The modified technique is described, and its advantages are compared with the conventional anterior scoring technique and with the other two basic techniques (Converse and Mustardé).

PATIENTS AND METHODS

The modified technique was used to treat eight patients. In these cases, the use of transfixion mattress sutures placed through the perichondrium was very helpful in achieving a smooth curvature.

RESULTS

Results up to 1 year showed no alteration in form when compared with the short-time results.

CONCLUSION

The conventional anterior scoring technique for otoplasty is one of the most useful and reliable techniques, applicable in all cases of prominent ears. However, in some cases, it is difficult to control the cartilage bending completely. By using three adjusting mattress sutures (4-0 vicryl) through the perichondrium on the posterior side, combined with shallower scoring incisions, it is possible to create symmetry with the opposite ear and prevent "telephone ear" complication.

摘要

目的

本文描述一种改良的前路评分技术,用于在矫正招风耳后获得自然的外观效果。介绍了该改良技术,并将其优势与传统前路评分技术以及其他两种基本技术(康弗斯法和马斯塔德法)进行比较。

患者与方法

采用改良技术治疗8例患者。在这些病例中,通过软骨膜放置贯穿褥式缝线对实现平滑的弯曲非常有帮助。

结果

与短期结果相比,长达1年的结果显示形态无改变。

结论

传统的耳廓整形前路评分技术是最有用且可靠的技术之一,适用于所有招风耳病例。然而,在某些情况下,很难完全控制软骨弯曲。通过在后侧软骨膜上使用三根调整性褥式缝线(4-0可吸收缝线),并结合较浅的划痕切口,有可能使与对侧耳朵对称并防止“电话耳”并发症。

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