{"title":"Auricular growth potential of patients with concha-type microtia after auricular cartilage stretching surgery: A prospective study","authors":"","doi":"10.1016/j.bjps.2024.07.073","DOIUrl":null,"url":null,"abstract":"<div><h3>Backgrounds</h3><p>For patients with concha-type microtia, surgical intervention and the degree of deformity may affect the growth rate of the auricular cartilage, which is different at different ages. This study aimed to explore the auricular growth potential of patients with concha-type microtia at different ages after auricular cartilage stretching surgery.</p></div><div><h3>Methods</h3><p>A total of 66 patients with unilateral grade II and III concha-type microtia were involved in this prospective cohort study. All patients underwent auricular cartilage stretching surgery. Relevant data were collected before surgery, immediately after surgery, and at the last follow-up.</p></div><div><h3>Results</h3><p>The perimeter, width, and length of auricle, between each follow-up, was statistically significant, which supported the effect of surgery and auricular development. For patients in the grade II group, no statistical significance was found in the difference in the perimeter, width, and length between the affected and normal auricle. For the patients in the grade III group, the difference in the relevant indexes of the affected auricle was significantly different from those of the normal auricle. Between subgroups divided according to their age, the growth potential of affected auricle with the same degree of deformity was statistically significant.</p></div><div><h3>Conclusions</h3><p>Growth potential of the affected auricle of the grade II group was consistent with that of the normal auricle, which was significantly higher than that of the grade III group. For patients at different ages, auricles grew faster before 3 years of age. Surgical intervention improved the auricular aesthetics and released the auricular growth potential. Thus, surgical intervention should be recommend as early as possible.</p></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Plastic Reconstructive and Aesthetic Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1748681524004558","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Backgrounds
For patients with concha-type microtia, surgical intervention and the degree of deformity may affect the growth rate of the auricular cartilage, which is different at different ages. This study aimed to explore the auricular growth potential of patients with concha-type microtia at different ages after auricular cartilage stretching surgery.
Methods
A total of 66 patients with unilateral grade II and III concha-type microtia were involved in this prospective cohort study. All patients underwent auricular cartilage stretching surgery. Relevant data were collected before surgery, immediately after surgery, and at the last follow-up.
Results
The perimeter, width, and length of auricle, between each follow-up, was statistically significant, which supported the effect of surgery and auricular development. For patients in the grade II group, no statistical significance was found in the difference in the perimeter, width, and length between the affected and normal auricle. For the patients in the grade III group, the difference in the relevant indexes of the affected auricle was significantly different from those of the normal auricle. Between subgroups divided according to their age, the growth potential of affected auricle with the same degree of deformity was statistically significant.
Conclusions
Growth potential of the affected auricle of the grade II group was consistent with that of the normal auricle, which was significantly higher than that of the grade III group. For patients at different ages, auricles grew faster before 3 years of age. Surgical intervention improved the auricular aesthetics and released the auricular growth potential. Thus, surgical intervention should be recommend as early as possible.
背景:对于圆锥型小耳症患者来说,手术治疗和畸形程度可能会影响耳廓软骨的生长速度,而不同年龄段的耳廓软骨生长速度是不同的。本研究旨在探讨不同年龄的圆锥型小耳症患者在接受耳廓软骨拉伸手术后的耳廓生长潜力:这项前瞻性队列研究共涉及 66 名单侧 II 级和 III 级耳廓型小耳症患者。所有患者均接受了耳廓软骨拉伸手术。研究收集了手术前、手术后和最后一次随访时的相关数据:结果:每次随访之间,耳廓的周长、宽度和长度均有统计学意义,这证明了手术对耳廓发育的影响。对于 II 级患者,受影响耳廓与正常耳廓在周长、宽度和长度上的差异无统计学意义。在 III 级组患者中,受影响耳廓的相关指标与正常耳廓相比有显著差异。根据年龄划分的亚组之间,畸形程度相同的受累耳廓的生长潜力具有统计学意义:结论:Ⅱ级组受累耳廓的生长潜力与正常耳廓一致,明显高于Ⅲ级组。对于不同年龄的患者,耳廓在 3 岁前生长较快。手术干预改善了耳廓的美观,释放了耳廓生长的潜能。因此,应尽早进行手术干预。
期刊介绍:
JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery.
The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.