The Auricular Injection Technique: A New Treatment for Lying Ear.

Autor:	Chen CY; From the Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital., Zhou YH; From the Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital., Fang JR; From the Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital., Luo CE; From the Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital., Tan LL; Hangzhou Time Plastic and Cosmetic Hospital., Wang HB; From the Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2024 Jan 01; Vol. 153 (1), pp. 74e-78e. Date of Electronic Publication: 2023 Mar 27.
DOI:	10.1097/PRS.0000000000010484
Abstrakt:	Summary: Lying-ear deformity refers to an auricle that bends backward excessively, is excessively folded against the head, and has a very prominent antihelix. It usually requires experienced surgeons to perform surgical treatment and a prolonged postoperative recovery process. This article proposes a simple and effective hyaluronic acid injection technique that significantly improves the shape of the outer ear and enhances perceived facial aesthetics. Twenty patients underwent treatment with multiple injections. Measure-related parameters were used to evaluate the postoperative effect, and the results were graded using a visual analog scale. Interrater reliability among graders was evaluated using intraclass correlation coefficients. After treatment, no serious complications, such as infection or embolism, occurred. Six months after the procedure, the average auriculocephalic angle increased from 25.11 ± 9.46 to 32.72 ± 8.29 degrees, the average conchoscaphal angle increased from 87.69 ± 9.06 to 95.94 ± 7.11 degrees, and patients' average visual analog scale score increased from 4.40 ± 1.14 to 8.57 ± 0.68. Interrater reliability was fair to good for visual analog scale before injection and 6 months after injection (intraclass correlation coefficients, 0.49 and 0.45, respectively; both P < 0.001). The patients were satisfied with the injection process and results. This injection protocol improved the shape of the outer ear, resulting in excellent postoperative outcomes. (Copyright © 2023 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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