The study of using precise measurement to evaluate the outcomes after ear reconstruction

P. Zhu, Sui-jun Chen
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Abstract

Objective: Microtia ear reconstruction is one of the most challenging operations in plastic surgery, the aim of the present study is to use a new method to evaluate the results after ear reconstruction. Study design: Observational study. Setting: University hospital from December 2016 to January 2018. Subjects and methods: In total, 40 children underwent autologous ear reconstruction with three-stage technique, 20 patients who had a 3D digital template made for clinical application, and the other 20 who had undergone ear reconstruction with a 2D template, all of the subjects had been on a more than 3-months postoperative follow-up. For the auricle’s 20 precise measurements which count, combined with satisfaction questionnaires, a complete review of anatomic features, surgical results were performed. Results: The measurement results of the 3D model group remanufactured ear profile were more correlated with the measurement results of the healthy side ear profile, while the patients in the 3D model group were more satisfied with the reconstructed ear profile, which was consistent with the clinical actual results, and objectively reflected the effect of the patient after the operation. Conclusion: The application of 3D model is helpful to improve the effect of surgery, and the precise measurement evaluation method combined with the satisfaction questionnaire can reflect the patient's postoperative effect in a realistic and objective way. *Correspondence to: Sui-jun Chen, Department of Otolaryngology, Sun Yatsen Memorial Hospital, Sun Yat-sen University, Guang Zhou, China, Tel: +86 20 8133 2199; E-mail: chensuij@mail.sysu.edu.cn
应用精密测量方法评价耳部再造术效果的研究
目的:小耳再造术是整形外科中最具挑战性的手术之一,本研究的目的是采用一种新的方法来评价小耳再造术的效果。研究设计:观察性研究。工作地点:2016年12月- 2018年1月,大学附属医院。对象和方法:采用三段式技术进行自体耳廓再造术的患儿共40例,制作用于临床的3D数字模板20例,采用2D模板进行耳廓再造术的患儿共20例,术后随访均在3个月以上。对于耳廓的20项精确测量,结合满意度问卷,对解剖特征进行完整的审查,进行手术结果。结果:3D模型组再造耳廓测量结果与健康侧耳廓测量结果相关性更强,而3D模型组患者对再造耳廓更满意,与临床实际结果一致,客观反映了患者术后的效果。结论:三维模型的应用有助于提高手术效果,精确的测量评价方法结合满意度问卷能真实、客观地反映患者的术后效果。*通讯对象:陈瑞君,广州中山大学附属孙逸仙纪念医院耳鼻咽喉科,电话:+86 20 8133 2199;电子邮件:chensuij@mail.sysu.edu.cn
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