매트리스봉합을 이용한 수축귀의 교정

Correction of Cup Ear using the Mattress suture

  • 장수원 (한양대학교 의과대학 성형외과학 교실, 순천향대학교 의과대학 성형외과학 교실) ;
  • 이장현 (한양대학교 의과대학 성형외과학 교실, 순천향대학교 의과대학 성형외과학 교실) ;
  • 최승석 (한양대학교 의과대학 성형외과학 교실, 순천향대학교 의과대학 성형외과학 교실) ;
  • 탁민성 (한양대학교 의과대학 성형외과학 교실, 순천향대학교 의과대학 성형외과학 교실)
  • Jang, Soo Won (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Soonchunhyang University) ;
  • Lee, Jang Hyun (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Soonchunhyang University) ;
  • Choi, Seung Suk (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Soonchunhyang University) ;
  • Tak, Min Sung (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Soonchunhyang University)
  • 발행 : 2009.01.15

초록

Purpose: Constricted ear, which is named by Tanzer includes lop ear, cup ear, and sort of prominent ear. It has classified three groups by Tanzer, especially grou I and IIA have been corrected by banner flap, Musgrave's technique, tumbling concha - cartilage flap, reversed banner flap and others. However, these techniques were too invasive for correcting mild degree of deformity. Therefore, we corrected the ear with mattress suture which is simple and less invasive. Method: The operations were done against 5 patients from 2005 March to 2008 April. All the cases were unilateral ears with constriction included helix and scaphoid fossa without difference in length between both ears. Though a posterior auricular skin incision, the folded cartilage is exposed and two parallel incisions on superior crus were made. After mattress suturing in cartilage, the superior crus of antihelix was formed and its force enables the folded portion to be in a normal anatomic position. Result: All of 5 patients got satisfactory results. There were no complications like hematoma or skin necrosis, and no recurrence during follow - up period(the average period was 9 months). And we couldn't recognize the difference between height of both auricles. Conclusion: Mattress suture is simple, less invasive, and suitable on correcting mild deformity of constricted ear with better result, so here we suggest the method.

키워드

참고문헌

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