Otoplasty of prominent ear using cartilage folding with unilateral cartilage incision
10.3760/cma.j.cn114453-20220610-00178
- VernacularTitle:耳廓软骨单边切开折叠法矫正招风耳畸形
- Author:
Lu YANG
1
;
Chen CHEN
;
Jinming ZHANG
;
Jun GE
;
Weiqiang LIANG
;
Dongjun JEON
;
Yongzhen WANG
Author Information
1. 广东省人民医院血管与整形外科，广州 510030
- Keywords:
Ear auricle;
Prominent ear;
Ear cartilage;
Unilateral cartilage incision;
Cartilage scoring;
Cartilage folding
- From:
Chinese Journal of Plastic Surgery
2022;38(7):749-755
- CountryChina
- Language:Chinese
-
Abstract:
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.
