水平褥式缝合联合软骨管法个性化治疗招风耳

Clinical study on the treatment of prominent ear by personalized horizontal mattress suture combined with cartilage tube method

目的探讨应用水平褥式缝合联合软骨管法个性化治疗招风耳的手术效果。方法回顾性分析2013年1月至2015年12月共21例(28只耳)招风耳畸形患者,应用水平褥式缝合与软骨管法联合治疗,术后随访6个月至1年,平均9个月,观察手术效果。结果术后有3例出现血肿,及时清除后伤口愈合良好;无一例出现感染、皮瓣坏死、软骨吸收变形等并发症。术后28只耳畸形均获得矫正,对耳轮形态流畅,耳颅角及耳轮与耳舟角度均较术前明显减小,切口位置隐蔽且未见明显瘢痕增生。结论水平褥式缝合联合软骨管法个性化治疗招风耳手术操作简便,塑形效果好,且形态维持稳定。

Objective To study the effect of individualized treatment of prominent ears using mattress suture combined tubed cartilage method. Methods A total of 21 patients ( 28 ears ) with prominent ear deformity were retrospectively analyzed from January 2013 to December 2015. Horizontal mattress suture and tubed cartilage were used to correct the deformed ears. The patients were followed up for 6 months to 1 year (mean:9 months). Results Hematoma occurred in 3 cases after operation, but the wounds were healed after removal of hematoma. No infection, flap necrosis, cartilage absorption or deformation, or other complications occurred. 28 ears were corrected. The shape of the antihelix was smooth and the auriculocephalic angle and scapha-conchal angle were significantly reduced, compared with preoperative. No obvious scar hypertrophy was left on incision. Conclusions The method of horizontal mattress suture combined with tubed cartilage is simple to use for prominent ear, result in satisfactory and stable outcomes.