新型反螺旋仪器引导折叠技术:一种改良的Mustarde耳成形术

IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY
Olivia Ginty , Gabrielle Pundaky , Agnieszka Dzioba , Julie Strychowsky
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引用次数: 0

摘要

突出耳是最常见的先天性耳畸形,占全球人口的5%,大多数患者认为负面经历或审美不满是矫正耳成形术的动机。Mustarde-Furnas是儿科患者常用的耳廓成形术。考虑到美容目的,结果一致性在耳成形术中非常重要,这是我们对Mustarde技术的修改旨在解决的问题。对2018年至2025年在儿童医院接受改良Mustarde技术治疗的小儿突出症患者进行回顾性图表回顾。该技术利用钻筒物理控制新反螺旋褶皱和Mustarde缝合线的张力;联合Furnas缝合线,用于治疗气管退缩。人口统计学、耳廓测量、手术细节、并发症和手术修复用描述性统计和配对t检验进行评估。纳入35例患者(平均年龄12岁,范围4-19岁)。术前和术后三个耳穴(mm)的测量有显著差异,包括上螺旋穴[p <; 0.001,平均差值(MD) = 7.67]和上、下外耳道[p <; 0.001, MD = 9.35;p < 0.001, MD = 4.88]。各测量值变化与相应对侧耳廓测量值变化无统计学差异(p > 0.05)。修复率为5.7%(2/35),用于疤痕修复和复发。后者促使缝线切换,随后没有复发。在所有耳廓测量中发现的显著差异,以及每对耳廓之间结果的一致性,证明了这种改良的mustarde技术在可靠的耳廓成形术中的潜在疗效,可以满足审美需求,并应用于培训生教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Novel antihelix instrument guided folding technique: A modification of Mustarde otoplasty
Prominauris is the most common congenital ear deformity, presenting in 5 % of the global population, and most patients endorse negative experiences or aesthetic dissatisfaction as motivation for corrective otoplasty. Mustarde-Furnas is a popular otoplasty technique among pediatric patients. Given the cosmetic intention, result consistency is highly important in otoplasty, which our modification of the Mustarde technique aims to address. A retrospective chart review of pediatric patients with prominauris treated with our modified Mustarde technique at Children's Hospital between 2018 and 2025 was undertaken. The technique utilizes a drill barrel to physically control the neo-antihelix fold, and the tension of the Mustarde sutures; combined with Furnas sutures, for conchal setback. Demographics, auricle measurements, operative details, complications, and revisions were evaluated with descriptive statistics and paired t-tests. Thirty-five patients were included (mean age 12 years, range: 4–19). Significant differences between the pre- and post-operative measurements for three auricular points (mm) were found including superior helical [p < 0.001, mean difference (MD) = 7.67], and, superior and inferior external auditory canal [p < 0.001, MD = 9.35; p < 0.001, MD = 4.88, respectively]. No statistically significant differences were found between each measurement change and the measurement change in the corresponding contralateral auricle measurement (p > 0.05). Revision rate was 5.7 % (2/35), indicated for scar revision and recurrence. The latter prompted a suture switch, and no recurrence followed. The significant differences found across all auricular measurements, and the consistency of results between each auricle pair, demonstrate the potential efficacy of this modified-Mustarde technique for reliable otoplasty for aesthetic satisfaction and applications to trainee education.
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来源期刊
CiteScore
3.20
自引率
6.70%
发文量
276
审稿时长
62 days
期刊介绍: The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.
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