摘要
目的:介绍运用耳软骨折叠卷曲法矫正招风耳畸形。方法:招风耳畸形59只,着色定3～4点,三角窝和耳舟A点,A1点,对耳轮分叉处B点,B1点,对耳轮尾部两侧定C点,C1点。如果外耳长轴>6cm,增加D点,D1点在外耳道平行线与新对耳轮交界处。切开耳后皮肤,沿标记点在耳软骨表面做两道切口,做耳前皮下剥离,在耳甲软骨外侧面反复划痕后,褥式缝合耳软骨边缘,卷曲形成平滑的对耳轮嵴。将耳甲腔软骨缝合于乳突骨膜上,使耳廓和乳突的距离缩小。结果:59只招风耳术后随访1～24个月,均获得满意效果,无复发。结论:该术式矫正招风耳畸形具有操作简单易行、效果确切、不易复发和并发症少等优点。
Objective To introduce our experience for correction of prominent ears by ear cartilage-folding method which amalgamated some well-known techniques.Methods Three pairs of points are marked and tattooed on the skin of the anterior surface of the ear,Points A and A1 are located between the triangular pit and the scapha;points B and B1 are located down the bifurcation of the antihelix;points C and C1 are located at the tail of the antihelix,D and D1 in line with the external auditory canal.The anterior area of antihelix was dissected subcutaneously.Two linear surgical incision are made on the posterior surface of the cartilage along the markings,then the surface of cartilage was scoring.Satisfactory antihelix was established by folding with mattress suturing.The back of concha cartilage was fixed to the mastoid periost to decrease the cranioauricular angle.Results 59 cases of prominent ears were followed up postoperatively from 1 to 24 months and almost all of the ears achieved satisfactory effects.Both the antihelix and cranioauricular angle were changed markedly.Conclusion This technique is easy and simple,and has reliable effect.
出处
《中国美容医学》
CAS
2010年第4期489-491,共3页
Chinese Journal of Aesthetic Medicine
关键词
招风耳
整形
耳整形
prominent ear
otoplasty
auricle reconstruction
