Diagnosis and Treatment Strategy for Constricted Ear Surgery in Our Department

DOI
  • TORIYABE Sohachi
    Department of Plastic and Reconstructive Surgery, Sendai Medical Center
  • MIURA Takayuki
    Department of Plastic and Reconstructive Surgery, Sendai Medical Center

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Other Title
  • 当科における絞扼耳の診断・治療方針

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Description

<p> Introduction: Strangulated ears are classified as constricted ear types IIA and IIB in the Tanzer classification. At our institution, we perform auriculoplasty for type IIA and IIB cases using a local flap and chondroplasty without cartilage grafting. This report outlines our diagnostic approach, surgical techniques, and current challenges.<br>  Methods: The surgeries included a large Z-plasty for cryptotia with insufficient skin above the auricle and a bent auricle, and chondroplasty with a double banner flap and antihelix formation for a standing ear. No autologous rib cartilage or auricular grafting was performed.<br>  Results: Of 29 auricles in 26 patients, 16 auricles in 14 patients were followed up for more than 5 years after surgery. Of these, seven cases (nine auricles) required reoperation due to postoperative deformity and retroversion, all of which were type IIB cases. Most had retroversion or deformity.<br>  Conclusion: The treatment concept for constricted ears varies for the treatment of mild to severe cases. Depending on the situation, cartilage grafting or surgery, similar to that performed for microtia, should be considered.</p>

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Details 詳細情報について

  • CRID
    1390304095368948352
  • DOI
    10.57414/jjpnprs.45.4_135
  • ISSN
    2758271X
    03894703
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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