耳软骨支架提升在耳郭畸形矫正中的临床应用

Application study of ear cartilage scaffold lifting in the correction of auricular deformities

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。

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 auriculae,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.