使用螺旋状肋骨软骨支架和静脉后门的进步来纠正狭窄的耳朵特征的微小
Chenglong Wang1, Dejin Gao, Pan Luo
1Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College; Beijing, China.
Plastic and reconstructive surgery
|November 12, 2024
概括
这项研究表明,将肋骨软骨支架与后耳垂相结合,可以有效地纠正微和狭窄的耳朵形. 该程序产生了良好的审美效果,耳朵重建的并发症率低.
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
- 出生形纠正 - - 出生形纠正
背景情况:
- 狭窄的耳朵特征的微带来了复杂的重建挑战,因为软骨和皮肤的变化.
- 有效的手术纠正是必要的,以改善形式和功能.
研究的目的:
- 为了评估使用螺旋状肋骨软骨支架的疗效和安全性,结合后耳皮向前推进以纠正微小.
主要方法:
- 在2020年1月至2023年1月期间,对121名患有微病和狭窄耳部特征的患者进行了回顾性分析.
- 螺旋体重建使用第八或第九肋骨软骨和后耳膜的推进.
- 通过并发症率和耳部美学评分 (利克特尺度) 评估结果.
主要成果:
- 在所有患者中成功扩展螺旋和改善耳朵对称性/形状.
- 平均审美评分为3.4/4.4 的评分.
- 轻微的并发症:接暴露 (8.3%) 和软骨突起 (4.1%),两者都得到了有效的管理. 没有发生死亡或感染等重大不良事件.
结论:
- 肋骨软骨支架和后耳皮向前推进的联合方法是纠正狭窄耳朵特征的微病的可靠方法.
- 这种技术提供了令人满意的美学结果,并发症的发生率很低.
相关概念视频
The Cochlea
The cochlea is a coiled structure in the inner ear that contains hair cells—the sensory receptors of the auditory system. Sound waves are transmitted to the cochlea by small bones attached to the eardrum called the ossicles, which vibrate the oval window that leads to the inner ear. This causes fluid in the chambers of the cochlea to move, vibrating the basilar membrane.
Compact Bone
Most bones contain compact and spongy osseous tissue, but their distribution and concentration vary based on the bone's overall function.
Compact bone, also called cortical bone, is the denser, stronger of the two types of bone tissue. It is found under the periosteum and in the diaphyses of long bones, where it provides support and protection. The microscopic structural unit of compact bone is called an osteon, or haversian system. Each osteon is composed of concentric rings of calcified...
Compact bone, also called cortical bone, is the denser, stronger of the two types of bone tissue. It is found under the periosteum and in the diaphyses of long bones, where it provides support and protection. The microscopic structural unit of compact bone is called an osteon, or haversian system. Each osteon is composed of concentric rings of calcified...
Cranial Bones: Lateral View
The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
The Auditory Ossicles
The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
Anatomy of the Ear
Auditory sensation, commonly called hearing, involves the transformation of sonic waves into neural impulses facilitated by the structures of the auditory organ. The prominent, flesh-like structure on the side of the head, called the auricle, directs sound waves towards the auditory canal. The auricle is often mislabeled as the pinna, a term more aligned with mobile structures like a feline's external ear. The auditory canal penetrates the cranium via the external auditory meatus of the...


