The treatment of butterfly-shape ear combine with cup ear
10.3760/cma.j.cn114453-20190501-00147
- VernacularTitle:蝶形耳廓合并杯状耳畸形的治疗体会
- Author:
Jiafeng LIU
1
;
Jiaming SUN
;
Xiaodan LI
Author Information
1. 华中科技大学同济医学院附属协和医院整形外科 430022
- Keywords:
Ear auricle;
Butterfly-shape ear;
Cup ear;
Aauricle composite flap
- From:
Chinese Journal of Plastic Surgery
2021;37(6):666-668
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the surgical regimen of butterfly-shape ear combine with cup ear and restore the appearance of auricle.Methods:From January 2012 to December 2019, 13 patients with butterfly-shape ear combined with cup ear deformity were treated in the Department of Plastic Surgery, Union Hospital, Huazhong University of Science and Technology. There were 6 males and 7 females, with an average age of 9.2 years (ranged from 6 to 15 years old). All patients were treated by folding cartilaginous flap to correct cup ear deformity, pushing forward the lobe flap and auricle composite tissue flap to repair the cleft on the ear. A piece of conchal cartilage was harvested and sutured to the outer edge of the cleft as the internal support for the cleft. The physiognomic ear length and breadth of two ears in the patients were measured immediately post operation. The results were evaluated after 6 months follow-up.Results:The appearance of all of the ears was significantly improved, no upper auricle hanging . A slight hypertrophic scar was found on the surface of one ear. The scar resolved after 6 months of ointment application and prosthesis. In all patients with unilateral ear deformity, the reconstructed ear length on the affected side was smaller than that on the contralateral side. In one patient, the difference between two sides ranged from 0.5 cm to 0.7 cm. For other patients, the difference between two sides was less than 0.5 cm. The difference between the reconstructed ear breadth of the affected ear and that of the reverse ear was less than 0.3 cm.Conclusions:This method can be applied to correct both the butterfly-shape ear deformity and cup ear malformation. The result was satisfactory.
