Cartilage transposition and anchoring: A surgical technique for the reconstruction of congenital tragal malformation in children

作者全名："Mei, Ailian; Li, Tianwu; Qiu, Lin; Mao, Xiaobo; Liu, Yan"

作者地址："[Mei, Ailian; Li, Tianwu; Qiu, Lin; Mao, Xiaobo; Liu, Yan] Chongqing Med Univ, Dept Burn & Plast Surg, Childrens Hosp, Chongqing, Peoples R China; [Mei, Ailian; Li, Tianwu; Qiu, Lin; Mao, Xiaobo; Liu, Yan] Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China; [Mei, Ailian; Li, Tianwu; Qiu, Lin; Mao, Xiaobo; Liu, Yan] Minist Educ, Key Lab Child Dev & Disorders, Chongqing, Peoples R China; [Mei, Ailian; Li, Tianwu; Qiu, Lin; Mao, Xiaobo; Liu, Yan] Chongqing Key Lab Pediat, Chongqing, Peoples R China; [Qiu, Lin] 20 Jinyu Ave,Renhe St, Chongqing, Peoples R China"

通信作者："Qiu, L (通讯作者)，20 Jinyu Ave,Renhe St, Chongqing, Peoples R China."

来源：JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001119679200001

JCR分区：Q2

影响因子：2

年份：2023

卷号：82

期号：　

开始页：229

结束页：234

文献类型：Article

关键词：Congenital tragal malformation; Macrotragus; Polyotia; Plastic surgery; Complications

摘要："Background: Because of the various types and complexity of congenital tragal malformation, tragal reconstruction is one of the most challenging objects in otoplasty. This study aimed to introduce a surgical technique of cartilage transposition and anchoring that was used to construct a cartilage framework for natural tragus reconstruction. Methods: A retrospective study was performed for 49 patients who underwent cartilage transposition and anchoring from January 2020 to August 2022. Gender, age, malformation, complication, operation record, preoperative and postoperative photograph, score of esthetic outcomes (4 = excellent, 3 = good, 2 = fair, 1 = poor), and Vancouver Scar Assessment score were reviewed. Results: Twenty-six boys and 23 girls with an average age of 35.79 +/- 32.97 months underwent revision. The follow-up time was 13.87 +/- 6.57 months. No complications were noted. The average score of esthetic outcomes and the Vancouver Scar Assessment score were 3.94 and 0.08 in the postoperative period, respectively. The overall effect was satisfactory. Conclusions: Postoperative results showed that cartilage transposition and anchoring were effective techniques for the reconstruction of congenital tragal malformation. The use of cartilage and fascia tissue around the tragus to fill up the depression and reconstruct the tragus were the emphases. The remolded tragus showed less scars and had the similar appearance like the natural tragus of the patient. (c) 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved."

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