摘要
目的探讨将耳廓软骨多点悬吊固定于颅面深筋膜的方法矫正轻中度杯状耳的可行性及有效性。方法 2014年1月-2016年3月收治22例28侧轻中度杯状耳患者,其中男12例,女10例;年龄6~28岁,平均15岁。单侧16例,双侧6例。Tanzer分型为Ⅰ型18耳,Ⅱ型10耳。手术选取耳颅沟切口,暴露、松解耳后肌肉、连接韧带等组织,重塑畸形的耳廓亚单位结构,使用不可吸收缝线将耳廓软骨向上向后悬吊固定于颅面深筋膜,重塑耳廓外形及位置。结果术后切口均Ⅰ期愈合,无血肿、感染、皮肤坏死发生。22例均获随访,随访时间3~48个月,平均12个月。除1例固定线结滑脱,经再次悬吊固定后效果良好外,其余患者耳廓无下垂、无前倾,外耳形态良好,耳舟显现明显,耳轮、对耳轮上下脚形态自然,双侧对称性较好,患者及家属均较满意。结论耳廓软骨多点悬吊固定于颅面深筋膜的方法可有效矫正轻中度杯状耳畸形。
Objective To explore the feasibility and effectiveness of using auricular cartilage multi-point suspension fixed on deep craniofacial fascia in correcting mild to moderate cupped ear malformation. Methods Between January 2014 and March 2016, 22 patients(12 males and 10 females) with mild to moderate cupped ear malformation were admitted, aged from 6 to 28 years, with an average age of 15 years. Sixteen cases were unilateral and 6 cases were bilateral. According to Tanzer classification, there were 18 sides of type Ⅰ and 10 sides of type Ⅱ. The otocranial groove incision was selected to expose and release the posterior auricular muscles and ligaments. The abnormal structure of auricle subunits was remolded. The auricle cartilage was suspended and fixed on the deep craniofacial fascia with non absorbable line to remodel the shape and position of auricle. Results The incision healed by first intention, without hematoma, infection, and skin necrosis. All the patients were followed up 3-48 months, with an average of 12 months. In addition to 1 case of slippage of the fixed line knot, the effect was good after being suspended and fixed again, the auricles of the other patients were not drooping and tilted forward, the shape of the outer ear was good, the ear boat was obvious,the shape of the upper and lower feet of the ear wheel and the pair of ears was natural, the bilateral symmetry was good,and the patients and their families were satisfied. Conclusion Auricular cartilage multi-point suspension fixed on deep craniofacial fascia is effective in the treatment of mild to moderate cupped ear malformation.
作者
陈再洪
游晓波
蔡震
刘全
杜丽平
张寒
崔玮
盛阳
CHEN Zaihong;YOU Xiaobo;CAI Zhen;LIU Quan;DU Liping;ZHANG Han;CUI Wei;SHENG Yang(Department of Plastic Surgery,Sichuan Academy of Medical Sciences·Sichuan Provincial People’s Hospital,Chengdu Sichuan,610072,P.R.China)
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2020年第1期83-86,共4页
Chinese Journal of Reparative and Reconstructive Surgery
基金
四川省科技厅项目(2018JZ0049)~~
关键词
杯状耳
耳廓软骨
悬吊固定法
Cupped ear malformation
auricle cartilage
suspension fixation
