首页|耳软骨支架提升在耳郭畸形矫正中的临床应用

耳软骨支架提升在耳郭畸形矫正中的临床应用

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目的 探讨耳郭软骨支架提升固定,调整耳郭整体高度的临床效果.方法 自 2013 年 9 月至 2023 年 1 月,华中科技大学同济医学院附属同济医院整形美容外科收治 65 例耳郭畸形患者,采用耳后相应切口切开皮肤,分离松解耳支架软骨背面与颅侧壁的粘连,在耳甲艇底面相应处缝合,上提软骨支架固定于颅侧壁深筋膜上,提升软骨支架到正常高度或与对侧保持一致.结果 65例患者术后切口一期愈合.所有患者获随访 6~12个月,1 例隐耳畸形患者固定松脱导致支架再次下移;3例"杯状耳"及 2 例其他畸形,因耳郭较正常侧小,两侧高度不一致;其余患者耳郭高度均得到提升,双侧耳郭高度基本对称.耳郭整体提升高度(0.6±0.4)cm.患者满意率为 87.7%(57/65).结论 该方法在矫正软骨形态畸形的同时,可明显提升耳郭整体高度,使得双侧耳郭更为对称,效果满意.
Application study of ear cartilage scaffold lifting in the correction of auricular deformities
Objective To explore the method of elevating and fixing the auricular cartilage scaffold to adjust the overall height of the auricle.Methods A corresponding incision was made behind the ear,and then separate and release the adhesion between the back of the auricular cartilage scaffold and the cranial wall.Several stitches were sewn at the corresponding position on the bottom of the cymba au-riculae,and the cartilage scaffold was lifted and fixed on the periosteum of the cranial wall to elevate the cartilage scaffold to normal height or the same height as the contralateral side.Results Sixty-five cases of various deformities of the auricle were clinically treated after 6 to 12 months of follow-up.The height of all other patients'auricles was improved,and the height of both auricles was symmetrical except for one patient with cryptotia deformity who had a loose fixation causing the stent to move down again,three patients with cup ears and two other ear deformities due to the ear being smaller than the normal side.The lifting height of all auricles is(0.6±0.4)cm.The patient satisfaction rate is 87.7%.Conclusion This method can significantly improve the overall height of the auricle while correcting cartilage abnormalities,making the two auricles more symmetrical,and the effect is satisfactory.

Auricular malformationCartilage scaffoldLiftingCup earCryptotia

张阳、刘嘉锋

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湖北文理学院附属医院(襄阳市中心医院)整形美容外科,湖北 襄阳 441021

华中科技大学同济医学院附属同济医院 整形美容外科,湖北 武汉 430022

耳郭畸形 软骨支架 提升 杯状耳 隐耳畸形

2024

中国美容整形外科杂志
中国医师协会 辽宁省人民医院 沈阳军区总医院

中国美容整形外科杂志

CSTPCD
影响因子:0.605
ISSN:1673-7040
年,卷(期):2024.35(4)
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