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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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.
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13.	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, 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.	于晓波, 蒋海越, 潘博, 等. 缝卷软骨联合耳廓复合组织移植矫正单侧轻中度杯状耳畸形. 中华耳科学杂志, 2013, 11(4): 533-535.
16.	王炜. 整形外科学. 杭州: 浙江科学技术出版社, 1999: 1083.
17.	张慧华, 刘小蓉, 郭晋宣. 五瓣法在轻度杯状耳矫正术中的应用. 当代医学, 2017, 23(15): 92-94.
18.	游晓波, 杜丽平, 张家建, 等. 改良杯状耳的整复术. 临床医药实践杂志, 2008, 1(11): 868-870.
19.	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.
20.	刘全, 游晓波, 张家建. 改良法矫正杯状耳畸形的疗效观察. 中国修复重建外科杂志, 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. 王俊伟, 杨学财. 先天性耳廓畸形形态学分类及非创伤性矫治的研究进展. 精准医学杂志, 2018, 33(6): 560-562, 564.
8. 王素芳, 邓哲, 韩富根, 等. 2-6 月龄婴幼儿先天性耳形态畸形无创矫正的效果观察. 中华耳科学杂志, 2019, 17(4): 527-531.
9. 雍军, 李林格, 皮立东, 等. 耳廓矫形器治疗先天性耳廓畸形的疗效分析. 新疆医学, 2019, 49(2): 101-104, 111.
10. 刘闪, 谭谦, 吴杰, 等. 耳甲腔软骨皮瓣旋转联合耳后舌形皮瓣矫正杯状耳. 中国美容整形外科杂志, 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. 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, 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. 于晓波, 蒋海越, 潘博, 等. 缝卷软骨联合耳廓复合组织移植矫正单侧轻中度杯状耳畸形. 中华耳科学杂志, 2013, 11(4): 533-535.
16. 王炜. 整形外科学. 杭州: 浙江科学技术出版社, 1999: 1083.
17. 张慧华, 刘小蓉, 郭晋宣. 五瓣法在轻度杯状耳矫正术中的应用. 当代医学, 2017, 23(15): 92-94.
18. 游晓波, 杜丽平, 张家建, 等. 改良杯状耳的整复术. 临床医药实践杂志, 2008, 1(11): 868-870.
19. 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.
20. 刘全, 游晓波, 张家建. 改良法矫正杯状耳畸形的疗效观察. 中国修复重建外科杂志, 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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