辅助耳道的实用分类和管理
Qingqing Li1, Yang Sheng1, Zhiyuan Jiang1
1Department of Plastic Surgery, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, No. 32, Section 2, 1st Ring Road, Qingyang District, Chengdu, Sichuan, China.
Aesthetic plastic surgery
|November 16, 2023
概括
对辅助耳朵的新分类系统有助于对这种常见的先天性耳朵形进行手术规划. 该系统根据解剖学子单元对辅助耳朵进行分类,改善了手术方法的决策.
科学领域:
- 整形外科 整形外科 整形外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 遗传异常是先天的异常.
背景情况:
- 辅助耳朵是常见的先天性耳朵附属物,呈现方式各异.
- 一个基于解剖学子单位的实用分类系统 (tragus, anterior notch, intertragal notch) 被开发出来.
- 对每个分类类型描述了相应的外科手术程序.
研究的目的:
- 引入和验证辅助耳朵的实用分类系统.
- 为了将辅助耳朵类型与外科手术方法相关联.
- 评估术后结果和患者满意度.
主要方法:
- 对80名患者 (96只耳朵) 进行辅助耳环切除术的回顾性分析 (2018年1月 - 2021年12月).
- 根据解剖学子单元的参与,分类为简单的,复杂的 (划分,形子类型) 和复合类型.
- 评估了手术技术和术后结果,包括审美评分 (利克尔特尺度,OSAS,PSAS).
主要成果:
- 简单类型是最常见的 (54%),其次是复杂类型 (29% - 28% tragal, 2% notch) 和复合类型 (15%).
- 鱼的亚型:A (25%),B (2%),C (2%) 的亚型.
- 平均审美评分为3.67.7分. 轻微的并发症包括伤口愈合延迟 (1) 和缩性痕 (6).
结论:
- 拟议的分类系统有效地识别了组合形和涉及的子单位.
- 这种分类指导了对辅助耳朵的适当外科手术方法的选择.
- 该系统有助于规划和潜在地改善辅助耳纠正手术结果.
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