摘要
目的 探讨Ω形改良Converse法招风耳整形术的可行性和效果.方法 2014年1月至2016年12月收治招风耳患者8例,其中双侧3例,单侧5例,共11侧,行Ω形改良Converse法招风耳整形术.在Converse软骨管法的基础上,对耳后切口两侧进行分离,形成耳后筋膜-软骨膜复合组织瓣.将对耳轮处软骨平行切开,平行褥式缝合形成对耳轮嵴,缝合两侧复合组织瓣加强塑形,软骨横断面呈Ω形.结果 本组8例11侧招风耳,术后均获得位置、形态较理想的对耳轮轮廓,耳舟与耳甲夹角明显减小.无论单侧还是双侧招风耳患儿,术后两耳均接近对称,瘢痕隐蔽,未发生血肿、感染、线结外露、继发畸形等并发症.随访6个月至1年,医患双方均满意.结论 改良Converse法招风耳整形术具有形成的对耳轮轮廓清晰、不易复发、并发症少等优点.
Abstract
Objective To investigate the feasibility and efficiency of refined Converse otoplasty with Ω shape for correcting prominent ears.Methods Refined Converse otoplasty with Ω shape was performed in 8 cases(3 cases of bilateral deformities)of prominent ears during January 2014 to September 2016.The postauricular fascial-perichondrial complex tissues were elevated through postauricular incision based on Converse otoplasty.The new antihelix was reformed by parallel mattress sutures though postauricular parallel cartilaginous incisions.The Ω shape appeared on the transverse section of the auricular cartilage after fascial-perichondrial sutures.Results Postoperative 6 month to one year follow -up presented satisfactory results in all 8 cases.The appropriate location and contour of the recreated antihelix was achieved.The included angle between fossae helicis and concha was decreased.The auricles were symmetric in both unilateral and bilateral patients of prominent ears.The scars were inconspicuous.Hematoma,infection,suture extrusion and secondary deformities were not seen in our series.Conclusions Natural and clear contour of the recreated antihelix was achieved by refined Converse otoplasty with Ω shape.Reoccurrence was not seen and complications were rare.
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