EFFECTIVENESS OF MODIFIED METHOD FOR CUP EAR DEFORMITY ._Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LIU Quan , YOU Xiaobo , ZHANG Jiajian

Department of Plastic Surgery, Sichuan Academy of Medical Sciences &;
Sichuan Provincial People’s Hospital, Chengdu Sichuan, 610072, P.R.China. Corresponding author: YOU Xiaobo, E-mail: yxbprs@163.com;

Corresponding author：

Keywords：

Cup ear; Modified method; Deformity correction

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Objective To introduce a modified method to correct type I and type II cup ear and to evaluate the effectiveness. Methods Between May 2006 and November 2011, 23 patients with type I or type II cup ear (27 ears, type I in 6 ears and type II in 21 ears according to Tanzer’s criteria) were treated. There were 14 males and 9 females with an average age of 10 years (range, 7-16 years). The unilateral ear was involved in 19 cases and bilateral ears in 4 cases. The main clinical manifestations included the flat helix and scapha and ptosis of upper 1/3 auricle. The arc incision was adopted in the auriculocephalic angle, elevation of the dis-clothing-like flap in the front and rear of the auricular cartilage, relocation of the craniofacial initiation site of the scapha and the cavity of auricular concha, correction of deformational auricular cartilage and reconstruction of smooth helix, antihelix, superior and inferior antihelix crus. Results All the incisions healed by first intention without any hematoma, postoperative infection, or flap necrosis. All patients were followed up 9 months-6 years (median, 36 months). No auricle ptosis, deformity contour, or atrophy was observed. The structure of the helix, scapha, and antihelix were clear, natural, and excellent. The scars at the local site were limited and unconspicuous. Conclusion Modified method can almost correct all the anatomic defects of cup ear. It is an ideal method to treat type I and type II cup ear.

Citation： LIU Quan,YOU Xiaobo,ZHANG Jiajian. EFFECTIVENESS OF MODIFIED METHOD FOR CUP EAR DEFORMITY .. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(12): 1482-1485. doi: Copy

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3.	Park C. A new corrective method for the Tanzer’s group IIB constricted ear: helical expansion using a free-floating costal cartilage. Plast Reconstr Surg, 2009, 123(4): 1209-1219.
4.	牛兆河, 蒋海越, 赵延勇, 等. 单侧小耳合并对侧杯状耳畸形的治疗. 中国美容整形外科杂志, 2008, 19(3): 169-170.
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7.	Salgarello M, Gasperoni C, Montagnese A, et al. Otoplasty for prominent ears: a versatile combined technique to master the shape of the ear. Otolaryngol Head Neck Surg, 2007, 137(2): 224-227.
8.	晋培红, 许枫, 张如鸿, 等. 颅耳角成形术中颞浅筋膜与耳后筋膜应用的对比研究. 中国修复重建外科杂志, 2008, 22(12): 1421-1425.
9.	谢祥, 庄洪兴, 杨庆华, 等. 外耳再造术中耳甲腔和耳屏的重建. 中国修复重建外科杂志, 2007, 21(8): 902-903.
10.	杨娴娴, 高晓燕, 张如鸿, 等. 耳垂型小耳畸形的肋软骨全耳郭再造. 上海交通大学学报: 医学版, 2006, 26(5): 527-531.
11.	杜佳梅, 庄洪兴, 蒋海越, 等. 先天性小耳畸形患者及其家属心理状况调查研究. 中华整形外科杂志, 2005, 21(3): 218-221.
12.	何伦, 方彰林. 美容医学心理学. 北京: 北京出版社, 1998: 19-24.
13.	Gasques JA, Pereira de Godoy JM P, Cruz EM. Psychosocial effects of otoplasty in children with prominent ears. Aesthetic Plast Surg, 2008, 32(6): 910-914.
14.	朱智贤. 儿童心理学. 3版. 北京: 人民教育出版社, 1993: 514.
15.	宋春琼, 庄洪兴, 刘暾, 等. 杯状耳的分型和治疗. 军医进修学院学报, 2004, 25(6): 436-437.
16.	Horlock N, Grobbelaar AO, Gault DT. 5-year series of constricted (lop and cup) ear corrections: development of the mastoid hitch as an adjunctive technique. Plast Reconstr Surg, 1998, 102(7): 2325-2335.

1. 王炜. 整形外科学. 杭州: 浙江科学技术出版社, 1999: 1086.
2. 国冬军, 蒋海越, 潘博, 等. 耳廓复合组织游离移植矫治中度杯状耳畸形. 中国美容医学, 2006, 15(6): 670-671.
3. Park C. A new corrective method for the Tanzer’s group IIB constricted ear: helical expansion using a free-floating costal cartilage. Plast Reconstr Surg, 2009, 123(4): 1209-1219.
4. 牛兆河, 蒋海越, 赵延勇, 等. 单侧小耳合并对侧杯状耳畸形的治疗. 中国美容整形外科杂志, 2008, 19(3): 169-170.
5. 赵延勇, 曾宪孔, 李鹰, 等. 钢丝悬吊综合矫治杯状耳畸形. 中华整形外科杂志, 2004, 20(4): 288-289.
6. Tanzer RC. The constricted (cup and lop) ear. Plast Reconstr Surg, 1975, 55(4): 406-415.
7. Salgarello M, Gasperoni C, Montagnese A, et al. Otoplasty for prominent ears: a versatile combined technique to master the shape of the ear. Otolaryngol Head Neck Surg, 2007, 137(2): 224-227.
8. 晋培红, 许枫, 张如鸿, 等. 颅耳角成形术中颞浅筋膜与耳后筋膜应用的对比研究. 中国修复重建外科杂志, 2008, 22(12): 1421-1425.
9. 谢祥, 庄洪兴, 杨庆华, 等. 外耳再造术中耳甲腔和耳屏的重建. 中国修复重建外科杂志, 2007, 21(8): 902-903.
10. 杨娴娴, 高晓燕, 张如鸿, 等. 耳垂型小耳畸形的肋软骨全耳郭再造. 上海交通大学学报: 医学版, 2006, 26(5): 527-531.
11. 杜佳梅, 庄洪兴, 蒋海越, 等. 先天性小耳畸形患者及其家属心理状况调查研究. 中华整形外科杂志, 2005, 21(3): 218-221.
12. 何伦, 方彰林. 美容医学心理学. 北京: 北京出版社, 1998: 19-24.
13. Gasques JA, Pereira de Godoy JM P, Cruz EM. Psychosocial effects of otoplasty in children with prominent ears. Aesthetic Plast Surg, 2008, 32(6): 910-914.
14. 朱智贤. 儿童心理学. 3版. 北京: 人民教育出版社, 1993: 514.
15. 宋春琼, 庄洪兴, 刘暾, 等. 杯状耳的分型和治疗. 军医进修学院学报, 2004, 25(6): 436-437.
16. Horlock N, Grobbelaar AO, Gault DT. 5-year series of constricted (lop and cup) ear corrections: development of the mastoid hitch as an adjunctive technique. Plast Reconstr Surg, 1998, 102(7): 2325-2335.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF MODIFIED METHOD FOR CUP EAR DEFORMITY .

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