Treatment of protrusion deformity of concha cavity with cartilage turning over of concha cavity
10.3760/cma.j.issn.1009-4598.2020.01.013
- VernacularTitle: 耳甲腔软骨翻转治疗耳甲腔前突畸形
- Author:
Yang ZHANG
1
;
Xiaodan LI
2
;
Jiafeng LIU
2
Author Information
1. Department of Plastic and Reconstruction, Xiangyang Zhongxin Hospital, Xiangyang 441021, China
2. Department of Plastic and Reconstruction, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
- Publication Type:Journal Article
- Keywords:
Ear Cartilage;
Cavity of auricular concha;
Deformity;
Replantation
- From:
Chinese Journal of Plastic Surgery
2020;36(1):61-63
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the treatment of protrusion deformity of the concha cavity with cartilage excision and turning over of the concha cavity, and to evaluate its advantages, disadvantages and indications.
Methods:Eight patients with protrusion deformity of the concha cavity were treated by this method in Wuhan Union Hospital from January 2010 to January 2018.An incision was made in the auriculocephalic angle to expose the dorsal side of the anterior concha cartilage. An elliptical incision was made on the edge of the protrusion area of concha cavity and stripped. The cartilage slices were turned over after crossing scratches and re-implanted into the corresponding area of the concha cavity and sutured with absorbable suture. Then packing with a gauze ball in front of the concha cavity. To observe the healing of incision and the occurrence of hematoma 10 days postoperative. The skin shrinkage of concha cavity and the secondary deformity of concha cavity were evaluated 6-12 months later when the patients were followed-up.
Results:The protrusion deformity of concha cavity was corrected in all patients. The incision healed well without local hematoma. There was no obvious distortion of the concha cavity after 6-12 months follow-up.
Conclusions:Harvesting and in situ turning over of cartilage slices can effectively treat the protrusion deformity of the concha cavity. There is no skin shrinkage and deformation in the concha cavity after operation.