Quantitative analysis of skin condition for two-stage auricular reconstruction
JIANG Ling
HU Jin-tian
QIAN Jin
ZHANG Qing-guo
Abstract：Objective To evaluate the skin and characteristics of the soft tissue in the mastoid regionby means ofultrasonography,and,for eligible patients,with two-stage auricular reconstruction (Nagata method).Methods From May 2015 to June 2016,a total of 272 patients with congenital microtia were selected for the study.Patients were divided into treatment groups according to the condition of the skin in the mastoid area.Patients were divided into at hin skin group (0.09 cm to 0.14 cm),a mediumgroup (0.15 cm to 0.19 cm),anda thickgroup (2.00 cm to 2.40 cm),according to skin thickness.They were also divided into a tight group (0.50 cm to 0.70 cm),medium group (0.80 cm to 1.00 cm),and loose group (1.10 cm to 1.30 cm),according to skin laxity.The scores were recorded.Results Two-stage auricular reconstruction was performed in 106 patients.Scoresexceeded 3.The average follow-up was 8.8 months.Eighty-nine patients (83.96％) and their families were satisfied with the results.Eightpatients (7.50％) felt relative satisfaction and 3 patients (2.83％) were unsatisfied with the results.Conclusion Different surgical approaches can be selected according tosoft tissue condition scores,as tested by ultrasonic analysis.Two-stage auricular reconstruction can be used in patients with good skin condition.This method can shorten treatment time and reduce the pain of flap extension.The reconstructed auricle has a good shape and can achievesatisfactory results.
Keywords：MicrotiaAuricular reconstructionNagata methodSkin in mastoid region
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 200-202,205 )