Auricular cartilage multi-point suspension fixed to craniofacial deep fascia in correcting mild to moderate cupped ear malformation_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CHEN Zaihong ,  YOU Xiaobo , CAI Zhen , LIU Quan , DU Liping , ZHANG Han , CUI Wei , SHENG Yang

Department of Plastic Surgery, Sichuan Academy of Medical Sciences·Sichuan Provincial People’s Hospital, Chengdu Sichuan, 610072, P.R.China;

Corresponding?author：

YOU Xiaobo, Email: yxb_plastic@163.com

Keywords：

Cupped ear malformation; auricle cartilage; suspension fixation

DOI：

10.7507/1002-1892.201905130

Video：

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Objective To explore the feasibility and effectiveness of using auricular cartilage multi-point suspension fixed on deep craniofacial fascia in correcting mild to moderate cupped ear malformation.Methods Between January 2014 and March 2016, 22 patients (12 males and 10 females) with mild to moderate cupped ear malformation were admitted, aged from 6 to 28 years, with an average age of 15 years. Sixteen cases were unilateral and 6 cases were bilateral. According to Tanzer classification, there were 18 sides of type Ⅰ and 10 sides of type Ⅱ. The otocranial groove incision was selected to expose and release the posterior auricular muscles and ligaments. The abnormal structure of auricle subunits was remolded. The auricle cartilage was suspended and fixed on the deep craniofacial fascia with non absorbable line to remodel the shape and position of auricle.Results The incision healed by first intention, without hematoma, infection, and skin necrosis. All the patients were followed up 3-48 months, with an average of 12 months. In addition to 1 case of slippage of the fixed line knot, the effect was good after being suspended and fixed again, the auricles of the other patients were not drooping and tilted forward, the shape of the outer ear was good, the ear boat was obvious, the shape of the upper and lower feet of the ear wheel and the pair of ears was natural, the bilateral symmetry was good, and the patients and their families were satisfied.Conclusion Auricular cartilage multi-point suspension fixed on deep craniofacial fascia is effective in the treatment of mild to moderate cupped ear malformation.

Citation： CHEN Zaihong, YOU Xiaobo, CAI Zhen, LIU Quan, DU Liping, ZHANG Han, CUI Wei, SHENG Yang. Auricular cartilage multi-point suspension fixed to craniofacial deep fascia in correcting mild to moderate cupped ear malformation. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(1): 83-86. doi: 10.7507/1002-1892.201905130 Copy

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17.	張慧華, 劉小蓉, 郭晉宣. 五瓣法在輕度杯狀耳矯正術中的應用. 當代醫學, 2017, 23(15): 92-94.
18.	游曉波, 杜麗平, 張家建, 等. 改良杯狀耳的整復術. 臨床醫藥實踐雜志, 2008, 1(11): 868-870.
19.	趙延勇, 曾憲孔, 李鷹, 等. 鋼絲懸吊綜合矯治杯狀耳畸形. 中華整形外科雜志, 2004, 20(4): 288-289.
20.	劉全, 游曉波, 張家建. 改良法矯正杯狀耳畸形的療效觀察. 中國修復重建外科雜志, 2012, 26(12): 1482-1485.

1. Porter CJ, Tan ST. Congenital auricular anomalies: topographic anatomy, embryology, classification, and treatment strategies. Plast Reconstr Surg, 2005, 115(6): 1701-1712.
2. Matsuo K, Hayashi R, Kiyono M, et al. Nonsurgical correction of congenital auricular deformities. Clin Plast Surg, 1990, 17(2): 383-395.
3. Matsuo K, Hirose T, Tomono T, et al. Nonsurgical correction of congenital auricular deformities in the early neonate: a preliminary report. Plast Reconstr Surg, 1984, 73(1): 38-51.
4. Kurozumi N, Ono S, Ishida H. Non-surgical correction of congenital lop ear deformity by splinting with Reston foam. Br J Plast Surg, 1982, 35(2): 181-182.
5. Tan ST, Abramson DL, MacDonald DM, et al. Molding therapy for infants with deformational auricular anomalies. Ann Plast Surg, 1997, 38(3): 263-268.
6. Byrd HS, Langevin CJ, Ghidoni LA. Ear molding in newborn infants with auricular deformities. Plast Reconstr Surg, 2010, 126(4): 1191-1200.
7. 王俊偉, 楊學財. 先天性耳廓畸形形態學分類及非創傷性矯治的研究進展. 精準醫學雜志, 2018, 33(6): 560-562, 564.
8. 王素芳, 鄧哲, 韓富根, 等. 2-6 月齡嬰幼兒先天性耳形態畸形無創矯正的效果觀察. 中華耳科學雜志, 2019, 17(4): 527-531.
9. 雍軍, 李林格, 皮立東, 等. 耳廓矯形器治療先天性耳廓畸形的療效分析. 新疆醫學, 2019, 49(2): 101-104, 111.
10. 劉閃, 譚謙, 吳杰, 等. 耳甲腔軟骨皮瓣旋轉聯合耳后舌形皮瓣矯正杯狀耳. 中國美容整形外科雜志, 2011, 22(4): 225-227.
11. Tanzer RC. The constricted (cup and lop) ear. Plast Reconstr Surg, 1975, 55(4): 406-415.
12. Pan B, Zhao Y, Zhuang H, et al. Tumbling cartilage flap and free auricular composite tissue transplantation for correcting mild and moderate forms of constricted ear. Arch Facial Plast Surg, 2010, 12(4): 241-244.
13. 國冬軍, 蔣海越, 潘博, 等. 耳廓復合組織游離移植矯治中度杯狀耳畸形. 中國美容醫學, 2006, 15(6): 670-671, 758.
14. Demir Y. Correction of constricted ear deformity with combined V-Y advancement of the crus helicis and perichondrioplasty technique. Plast Reconstr Surg, 2005, 116(7): 2044-2046.
15. 于曉波, 蔣海越, 潘博, 等. 縫卷軟骨聯合耳廓復合組織移植矯正單側輕中度杯狀耳畸形. 中華耳科學雜志, 2013, 11(4): 533-535.
16. 王煒. 整形外科學. 杭州: 浙江科學技術出版社, 1999: 1083.
17. 張慧華, 劉小蓉, 郭晉宣. 五瓣法在輕度杯狀耳矯正術中的應用. 當代醫學, 2017, 23(15): 92-94.
18. 游曉波, 杜麗平, 張家建, 等. 改良杯狀耳的整復術. 臨床醫藥實踐雜志, 2008, 1(11): 868-870.
19. 趙延勇, 曾憲孔, 李鷹, 等. 鋼絲懸吊綜合矯治杯狀耳畸形. 中華整形外科雜志, 2004, 20(4): 288-289.
20. 劉全, 游曉波, 張家建. 改良法矯正杯狀耳畸形的療效觀察. 中國修復重建外科雜志, 2012, 26(12): 1482-1485.

Chinese Journal of Reparative and Reconstructive Surgery

Auricular cartilage multi-point suspension fixed to craniofacial deep fascia in correcting mild to moderate cupped ear malformation

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