Auricular cartilage multi-point suspension fixed to craniofacial deep fascia in correcting mild to moderate cupped ear malformation / 中国修复重建外科杂志

Objective: To explore the feasibility and effectiveness of using auricular cartilage multi-point suspension fixed on deep craniofacial fascia in correcting mild to moderate cupped ear malformation. Methods: Between January 2014 and March 2016, 22 patients (12 males and 10 females) with mild to moderate cupped ear malformation were admitted, aged from 6 to 28 years, with an average age of 15 years. Sixteen cases were unilateral and 6 cases were bilateral. According to Tanzer classification, there were 18 sides of type Ⅰ and 10 sides of type Ⅱ. The otocranial groove incision was selected to expose and release the posterior auricular muscles and ligaments. The abnormal structure of auricle subunits was remolded. The auricle cartilage was suspended and fixed on the deep craniofacial fascia with non absorbable line to remodel the shape and position of auricle. Results: The incision healed by first intention, without hematoma, infection, and skin necrosis. All the patients were followed up 3-48 months, with an average of 12 months. In addition to 1 case of slippage of the fixed line knot, the effect was good after being suspended and fixed again, the auricles of the other patients were not drooping and tilted forward, the shape of the outer ear was good, the ear boat was obvious, the shape of the upper and lower feet of the ear wheel and the pair of ears was natural, the bilateral symmetry was good, and the patients and their families were satisfied. Conclusion: Auricular cartilage multi-point suspension fixed on deep craniofacial fascia is effective in the treatment of mild to moderate cupped ear malformation.

Frontotemporal rhytidectomy with small incisions of suspension and fixation by embedding with the threads / 中华医学美学美容杂志

Objective To report the frontotemporal rhytidectomy with small incision and the improvement of fixation. Methods Based on a great deal of rhytidectomy with conventional method, and had considering some principles and methods in rhytidectomy, we carried out the new operation with the experience of endoscopy in 1994, in which special threads, separator and dentoid cutting knife were used. Results Fifty two patients with wrinkles accepted the operation in our ward since 1996, and 48 cases obtained satisfactory clinical results. Conclusion The frontotemporal rhytidectomy with small incision is a simple and reliable wrinkle smooth operation with less bleeding and little damage as compared to traditional rhytidectomy.