| Popis: |
Any alteration to the size, shape, position, or location of the auricles gives an ungainly and unbalanced appearance to the face. When the auricles are larger than the normal size, their reduction is required since patients complain about the unesthetic aspects. Method. Surgical demarcations: an elliptical island is drawn on the scapha. When the auricle is too long on the vertical direction, the island is horizontally located on the upper part of the ear. When it is also wide, a “C-shape,” drawing is done that includes a part of the triangular fossa. Another incision along the sulcus of the helix is drawn from up downward until it reaches the lobule. A segment is drawn between the body of the ear and the lobule, for compensation. Surgery. Local anesthesia, combined with intravenous sedation, is used. An incision is made according to the drawing. This incision reaches only the skin and cartilage on the anterior side of the auricle. The posterior cutaneous wall is not incised. The posterior aspect of the conchal perichondrium is undermined. Therefore a perichondrium cutaneous flap is created posteriorly with the helix attached to its border. The chondrocutaneous “island” is resected, and the suturing is done after rotating the helix from up downward. The excess skin is resected on the posterior flap between the auricle and lobule, and a wet cotton bandage is applied for 1 week. |
