对耳轮过度前突畸形的整复

对耳轮过度前突为对耳轮的角度过锐，致使耳轮的位置相应后移，表现为与招风耳完全相反的畸形。畸形虽不十分明显，但影响美观。自１９９２年４月开始应用患侧耳廓软骨和耳后皮瓣对５例患者８只外耳进行治疗得到满意效果。认为文中所述方法是矫正对耳轮过度前突畸形的良好方法。     

对耳轮过度前突畸形的整复

对耳轮过度前突为对耳轮的角度过锐，致使耳轮的位置相应后移，表现为与招风耳完全相反的畸形。畸形虽不十分明显，但影响美观。自１９９２年４月开始应用患侧耳廓软骨和耳 皮瓣对５例患者８只外耳进行治疗得到满意效果。认为文中所述方法是矫正对耳轮过度前突畸形的良好方法。     

改良的招风耳矫正方法

根据招风耳畸形的成因,我们对招风耳矫正方法作了改进。采用在对耳屏做切口,切断耳轮、对耳轮和对耳屏的连接并搔刮耳软骨的手术方法,避免了术后耳垂仍然外展的缺点。     

耳软骨折叠卷曲法矫正招风耳畸形

目的：介绍运用耳软骨折叠卷曲法矫正招风耳畸形。方法：招风耳畸形59只,着色定3～4点,三角窝和耳舟A点,A1点,对耳轮分叉处B点,B1点,对耳轮尾部两侧定C点,C1点。如果外耳长轴〉6cm,增加D点,D1点在外耳道平行线与新对耳轮交界处。切开耳后皮肤,沿标记点在耳软骨表面做两道切口,做耳前皮下剥离,在耳甲软骨外侧面反复划痕后,褥式缝合耳软骨边缘,卷曲形成平滑的对耳轮嵴。将耳甲腔软骨缝合于乳突骨膜上,使耳廓和乳突的距离缩小。结果：59只招风耳术后随访1～24个月,均获得满意效果,无复发。结论：该术式矫正招风耳畸形具有操作简单易行、效果确切、不易复发和并发症少等优点。     

对耳轮塑形技术用于轻度及中度杯状耳畸形矫正

目的 探讨对耳轮成型技术用于轻度及中度杯状耳畸形矫正的方法。方法 2017年1月至2018年12月,轻、中度杯状耳46例,经术前充分评估,采用对耳轮成型技术为主进行矫正手术。结果 所有患者无术后并发症发生。术后随访3～12个月（平均6个月）,双耳对称性及耳廓形态均有明显改善。43例（93.48%）患者表示对手术效果“满意”或“可接受”。结论 合理应用对耳轮成型技术可获得比较理想的轻度及中度杯状耳畸形矫正效果。手术思路及技术均简单,手术损伤也较小。     

烧伤性耳部畸形的矫正

目的 探讨烧伤性耳部畸形的特点及修复方法.方法 回顾2010—2020年大连大学附属新华医院整形外科收治的28例烧伤性耳部畸形患者的临床资料.对耳部烧伤畸形的部位及修复方法进行总结.所有患者均合并头皮、耳后、面部及颈部烧伤,其中累及耳轮、耳舟及耳垂者4例,累及耳轮下部及耳垂者15例,单纯累及耳垂9例.结果 28例患者移...     

软骨划痕及折叠法联合应用矫正Stahl耳畸形

目的：介绍一种St ahl耳畸形矫正的方法。方法：针对一组17例患者,联合应用软骨划痕法及软骨折叠法矫正畸形。结果：16例患者第三对耳轮脚得到完全纠正,1例在耳轮处有较小的异常对耳轮脚的残余。在所有的病例中原较宽的耳舟均被纠正至正常宽度,对耳轮及其上脚的连续性得到较好的保留。所有的患者及其家人对手术的最终效果表示满意,没有手术并发症。结论：软骨划痕法和软骨折叠法联合矫正Stahl畸形简单实用,术后效果满意。     

招风耳矫治探讨

目的：介绍联合应用stensttom和Mustarde法矫治招风耳畸形的临床经验，并通过文献复习介绍近年来招风耳矫治的进展情况。方法：常规定点，耳后切除梭形皮肤，于对耳轮嵴部行耳前皮下剥离，并在软骨表面反复擦刮或刻痕，以破坏该处软骨表面结构，然后于耳后对耳轮嵴部行mustarde褥式缝合，使耳软骨按设计向后卷曲形成对耳轮嵴。结果：应用该法施行手术12例，均获得了外形良好．轮廓自然、角度正常的耳廓形态，随访6～18个月，无一例复发。结论：这种联合应用的技术简单方便，易于掌握，疗效确切，并发症少，复发率低，所形成对耳轮嵴形态及耳廓角度自然逼真，是招风耳整形术的最佳方案之一。未来的招风耳治疗方法将倾向于早期非手术矫治为主。     

耳软骨瓣翻转原位回植法治疗先天性Stahl耳畸形八例

探讨一种矫治先天性Stahl耳畸形的新方法。2016年1月至2019年9月,漯河市中心医院整形美容科治疗先天性stahl耳畸形患儿8例,男5例,女3例,7~28岁,平均15岁。取出第3对耳轮脚对应耳软骨,将游离软骨瓣翻转呈凹面向前并旋转90°重新原位放入,软骨瓣适当修剪,与周围耳软骨衔接缝合固定,形成较好的耳轮及耳舟形...     

利用耳廓复合组织片移植治疗环缩耳畸形

目的　用简单有效的方法治疗先天性单侧环缩耳畸形。方法　利用正常侧耳廓复合组织片移植于对侧畸形的环缩耳 (Ⅱ型 12例 ,Ⅰ型 3例 ) ,以此延长耳轮、显露耳舟及三角窝 ,从而矫正畸形。结果　 15例患者的耳廓复合组织片全部成活 ,耳轮延长 ,耳舟显露 ,从而使双耳基本对称。结论　本手术矫正环缩耳简单易行 ,效果满意。     

Aesthetic otoplasty: the key point

Summary Various techniques have been used to correct prominent ears. This deformity is caused by the lack of formation of the natural fold along the antihelix, a hypertrophied concha or a combination of both. The authors present a simplified method of auriculo-plasty. The key point of the operation described in this paper is an incision on the upper part of the tail to the lower end of the antitragus in order to break the strongest point where the helix, antihelix and antitragus join [9]; also, anterior scratching of the ear cartilage along the line of the future antihelix and superior crus, as suggested by Stenstrom [12]. Only a single Vicryl stitch is used to transfix the fold at the antihelix tail, bending the scapha over the conchal cartilage to make the lobule fall into place. The results are satisfactory, with a normal looking antihelical fold. The ears should also feel normal and should not appear to have been operated on.     

Correlation between projection of the ear, the inferior crus, and the antihelical body: analysis based on computed tomography.

We investigated the correlation between projection of the ear and the antihelical folding angle to clarify which portion of the antihelix should be corrected in reconstruction of prominent ears using computed tomograms of 15 ears in 11 patients with fractures of the facial bones. The angle of the scaphotriangular fossa indicating the superior crus, cymba conchae-triangular fossa angle indicating the inferior crus, and the scaphoconchal angle indicating the antihelical body were measured. There was no relation between the cranioauricular angle and the angle of the scaphotriangular fossa. However, there were significant relations between the cranioauricular angle and the cymba conchae-triangular fossa angle, and the cranioauricular and scaphoconchal angles, which suggests that emphasis should be placed on reconstruction of the inferior crus and antihelical body when prominent ears are being corrected.     

Correlation between projection of the ear,the inferior crus,and the antihelical body: Analysis based on computed tomography

We investigated the correlation between projection of the ear and the antihelical folding angle to clarify which portion of the antihelix should be corrected in reconstruction of prominent ears using computed tomograms of 15 ears in 11 patients with fractures of the facial bones. The angle of the scaphotriangular fossa indicating the superior crus, cymba conchae-triangular fossa angle indicating the inferior crus, and the scaphoconchal angle indicating the antihelical body were measured. There was no relation between the cranioauricular angle and the angle of the scaphotriangular fossa. However, there were significant relations between the cranioauricular angle and the cymba conchae-triangular fossa angle, and the cranioauricular and scaphoconchal angles, which suggests that emphasis should be placed on reconstruction of the inferior crus and antihelical body when prominent ears are being corrected.     

Feiltechnik, die sanfte Anthelixplastik

This article presents the filing technique, a biomechanical method for correction of hypoplastic antihelix. By access via the scapha the tension of the antihelix is reduced by filing in order to achieve the desired curvature. An advantage of the technique is that the filed antihelix cartilage remains formable on both sides for up to approximately 3 months so that subsequent corrections can be made for up to 3 months. Using this minimally invasive method a natural looking result can be achieved.     

The correction of lower eyelid retraction with ectropion due to gravity with auricular cartilage —suspension of lower eyelid with cartilage sling

Summary There are many surgical treatments for lower lid ectropion, but very few are effective for lower eyelid retraction with ectropion because of the influence of gravity on the flap transferred to the cheek. In two cases, we have successfully treated lower lid ectropion by suspending the lower lid with the ear cartilage taken from the antihelix. We believe that ear cartilage taken from the antihelix is a suitable material to suspend the lower eyelid for correction of lower eyelid retraction with ectropion due to gravity acting on the flap.     

招风耳矫正术后继发畸形的修复

目的：总结招风耳矫正术后继发畸形再修复的手术体会。方法：根据招风耳矫正术后畸形的不同,修复方法要有针对性,要遵循充分松解、展开对耳轮软骨,尽可能恢复原有解剖结构,根据对侧耳廓的位置,调整并重建对耳轮嵴的原则进行修复。结果：13例患者术后畸形均得到矫正,双侧基本对称,外观自然、满意,切口愈合良好,无感染及畸形复发现象。结论：招风耳矫正术后继发畸形可以通过对耳轮的重新塑形得到改善和矫正。     

Surgical correction of cryptotia using Medpor.

Cryptotia is a congenital auricular anomaly found more commonly in Orientals than whites. The characteristics of cryptotia are the invagination of the upper part of the auricle under the temporal skin and the deformity of the auricular cartilage. The goals of the repair of cryptotia are to release the upper ear from the side of the head to restore the retroauricular groove, to correct the malposition, and to correct the cartilaginous deformity. To lengthen the skin between the superior portion of the auricle and the scalp, the authors used both the modified Z-plasty and the temporal advancement flap. We partially detached the abnormal insertion of the superior auricular muscle at the upper part of the helix to make it weak. After complete exposure of the posterior aspect of the upper auricular cartilage, the constricted intrinsic transverse and oblique muscles were cut, and everting horizontal mattress sutures were inserted on the antihelix to expand the constricted body and crus of the antihelix. Thereafter, an ultrathin Medpor sheet (0.85-mm thickness) was fixed with 6-0 nylon sutures to the posterior aspect of the corrected antihelical cartilage for lengthening and splinting the relatively shortened upper pole of the deformed cartilage. This operative method is thought to be useful in maintaining the lengthened auricular height and shape, and in preventing the relapse of ear cartilage deformities.     

A new method of auriculoplasty for protruding ears

The paper describes a new method of correction of prominent ears which is based on mathematical preoperative planning of ear-to-skull distance. The antihelix is shaped by two dermosubcutaneous perichondrial flaps; the conchal spring is eased by means of a wedge-shaped cartilage excision in the area of the isthmus of the cartilage or the auricle, while residual protrusion of the lobule is corrected by a Z-plasty. This method was used to correct 233 protruding ears in 129 patients and better aesthetic results were obtained than those reported for other modern methods of corrective auriculoplasty. The advantages of the method are that it is radical, less traumatic than many others and eliminates any possibility of subjective errors in the preoperative planning of the ear-to-skull distance.     

Aesthetic otoplasty: A new technique

Our technique for the correction of the protruding ear deformity has been successfully used in 275 patients. It gives a natural look of the auricle, symmetrical results, and a decreased number of secondary surgical procedures. This technique is based on a careful planning of the operation and measurement of the auricle, a large posterior skin excision proportional to the protrusion, breaking of the keystone of the auricular cartilage (horizontal cut of the cartilage between the antitragus and antihelix for 10–12 mm), superficial scratching of the periochondrium of the antihelix, and deep scratching of the cartilage laterally and medially to the antihelix. The dressing remains on for only 24 hours.Presented at the Seventh International Congress of Plastic and Reconstructive Surgery, Rio de Janeiro, Brazil, May 20–25, 1979