耳廓软骨单边切开折叠法矫正招风耳畸形  

Otoplasty of prominent ear using cartilage folding with unilateral cartilage incision

作　　者：杨璐 陈宸 张金明[2] 葛鋆 梁伟强[2] 田东俊 王永振 Yang Lu;Chen Chen;Zhang Jinming;Ge Jun;Liang Weiqiang;Jeon Dongjun;Wang Yongzhen(Department of Vascular and Plastic Surgery of Guangdong Provincial People’s Hospital,Guangzhou 510030,China;Department of Plastic Surgery of Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China)

机构地区：[1]广东省人民医院血管与整形外科,广州510030 [2]中山大学孙逸仙纪念医院整形外科,广州510120

出　　处：《中华整形外科杂志》2022年第7期749-755,共7页Chinese Journal of Plastic Surgery

基　　金：广州市科学技术局科技计划项目(202201011447)。

摘　　要：目的探讨应用耳廓软骨单边切开折叠法矫正招风耳畸形的手术效果。方法回顾性分析2018年5月至2022年4月就诊于广东省人民医院血管与整形外科及中山大学孙逸仙纪念医院整形外科招风耳畸形患者的临床资料。患者均应用耳廓软骨单边切开折叠法进行手术矫正耳廓畸形:沿对耳轮外侧单边切开耳廓软骨,软骨剥离后做软骨表面划痕,折叠软骨并缝合固定形成对耳轮形态。术后定期随访,观察耳廓形态、切口愈合及相关并发症发生情况。结果共纳入18例(22只耳)招风耳畸形患者,其中男12例(15只耳),女6例(7只耳),年龄18~51岁,平均25.8岁;左侧9例,右侧5例,双侧4例。术后2 d内有4例患者出现术区疼痛,口服止痛药物后缓解。术后随访1~24个月,平均13.6个月,22只招风耳畸形均获得矫正,舟甲角及颅耳角均明显减小,对耳轮形态圆润流畅,双侧对称性良好,患者均满意。术后未发生畸形复发、感染、切口愈合不良、耳廓软骨变形及瘢痕增生等并发症。结论耳廓软骨单边切开折叠法矫正招风耳畸形,方法简单,效果自然而稳定。Objective To summarize and discuss the surgical effect in otoplasty of prominent ear using cartilage folding with unilateral cartilage incision.Methods Data of patients with prominent ear who were treated in the Department of Vascular and Plastic Surgery of Guangdong Provincial People’s Hospital and the Department of Plastic Surgery of Sun Yat-sen Memorial Hospital from May 2018 to April 2022 were retrospectively analyzed.All patients underwent otoplasty using cartilage folding with unilateral cartilage incision.During the operation,a unilateral cartilage incision was made along the lateral bottom of intended antihelix,cartilage dissection and scoring were made,and the cartilage was folded and sutured to form the antihelix.The patients were followed up postoperatively for auricular shape,wound healing and other complications.Results A total of 18 patients with prominent ear(22 ears)were included,consisting of 12 males(15 ears)and 6 females(7 ears),aged from 18 to 51 years(average of 25.8 years).There were 9 cases on the left,5 cases on the right and 4 cases on both sides.Four patients had pain in the operation area within 2 days postoperatively which could be relieved by analgesics.The patients were followed up for 1-24 months,with an average follow-up of 13.6 months.Twenty-two prominent ears were corrected.Scaphoconchal angle and cranioauricular angle of the prominent ears were significantly reduced,and the shape of the antihelix was smooth after the operation.All patients were satisfied with the results.There were no other complications after the operation,such as deformity relapse,infection,unhealing,auricular cartilage deformation and hypertrophic scar.Conclusions Otoplasty of prominent ear using cartilage folding with unilateral cartilage incision is a simple,stable and satisfactory surgical method for the treatment of prominent ear.

关 键 词：耳廓 招风耳 耳软骨 软骨单边切开 软骨划痕 软骨折叠 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]