RU2807140C1 - Method for reducing hypertrophied earlobe - Google Patents

Abstract

FIELD: medicine; plastic surgery.

SUBSTANCE: preoperative markings are carried out. The area of the resected earlobe is designated, where one edge of the future wound is marked preauricularly below the tragus, in the transitional fold, and the other on the earlobe. The earlobe is resected within the preoperative markings, and sutures are placed on the wound along the anterior surface of the auricle. On the posterior surface of the lobe, a triangular skin flap is resected with the base facing the edge of the wound, followed by suturing the resulting wound on the posterior surface of the lobe with an intradermal suture.

EFFECT: method makes it possible to increase the effectiveness of surgical reduction of a hypertrophied earlobe by placing postoperative sutures in inconspicuous areas.

1 cl, 1 ex, 8 dwg

Description

The essence of the technique is to make a pre-auricular incision under the tragus and an incision in the earlobe with a shift of the flap to the postauricular area and resection of the flap.

The invention relates to medicine, namely to plastic surgery and concerns the reduction of a hypertrophied earlobe with the location of the main postoperative scars in the post-auricular area, and the visible part of the postoperative scar in the pre-auricular area under the tragus.

The well-known method is wedge-shaped resection of the earlobe with the location of the postoperative scar in the central part of the earlobe. The disadvantage of such methods for earlobe reduction is the central location of the scar on the earlobe, which leads to the risk of a keloid scar, which is aesthetically incompatible in patients who have undergone rhytidectomy (when there is already a postoperative scar in the pre-auricular area, an additional scar on the earlobe when reducing it using classical techniques turns out to be located at a close distance from the scar after rhytidectomy).

The technical result of the proposed invention is to increase the efficiency of surgical reduction of a hypertrophied earlobe by placing postoperative sutures in low-replacement areas.

The technical result is achieved by making an incision under the tragus preauricularly in a fold of skin with excision of part of the earlobe (Figure 1, Figure 2). Then step-by-step suturing is performed first on the anterior part of the wound (Figure 3, Figure 4), resection of a triangular flap on the back side of the earlobe (Figure 5), mobilization of the skin flap and suturing on the back side of the earlobe (Figure 6, Figure 7). Figure 8 shows the earlobe after surgery and the location of the suture under the tragus.

Figure 1 shows the anterior surface of the auricle with preoperative markings applied in the area of the earlobe.

Figure 2 shows the anterior surface of the auricle after resection of the earlobe within the preoperative markings.

Figure 3 shows the anterior surface of the auricle with sutures applied to the anterior part of the wound.

Figure 4 shows the posterior surface of the auricle with sutures applied to the anterior part of the wound.

Figure 5 shows the posterior surface of the auricle with an excised triangular flap.

Figure 6 shows the posterior surface of the auricle with sutures applied, matching the edges after resection of the flap.

Figure 7 shows the final view of the posterior surface of the auricle with sutures applied.

Figure 8 shows the final view of the anterior surface of the auricle with sutures applied.

The method is carried out as follows. Preoperative markings are carried out. The area of the resected earlobe is designated, where one edge of the future wound is marked preauricularly below the tragus, in the transitional fold, and the other on the earlobe. Under local or general anesthesia, resection of the earlobe is performed within the preoperative markings. Skin sutures are then placed on the front of the wound. A triangular skin flap is resected on the posterior part, followed by closure of the wound with sutures.

The method was applied in practice in 3 patients with hypertrophied earlobes. In all cases, no complications were noted. The postoperative course is smooth. The effect of reducing the earlobe has been achieved. The sutures are minimally noticeable and are located preauricularly under the tragus and in the postauricular area.

Example. Patient Yu., 58 years old, was admitted for planned surgery. Complaints of enlarged earlobes on both sides and a desire to reduce the size of the earlobes History: 1 year ago, a lift of the lower 2/3 of the face, SMAS lifting was performed. The scars are normotrophic.

After treating the surgical field with an antiseptic solution, under local anesthesia with a 0.5% solution of Lidocaine - 2.0 ml, an area of the right ear lobe was excised within the boundaries of the preoperative markings. Hemostasis. An intradermal suture was placed on the anterior part of the wound using a 6/0 polypropylene thread. A triangular skin flap was resected along the posterior surface of the lobe, with its base facing the edge of the wound. The skin flap is mobilized in the caudal direction, the edges of the wound are compared with an intracutaneous suture using a 6/0 polypropylene thread. Aseptic dressing. A similar operation was performed on the left.

Claims (1)

A method for reducing a hypertrophied earlobe, which consists in carrying out preoperative markings, marking the area of the resected earlobe, where one edge of the future wound is marked preauricularly below the tragus, in the transitional fold, and the other on the earlobe, resection of the earlobe is performed within the preoperative markings , sutures are placed on the wound along the anterior surface of the auricle, a triangular skin flap is resected on the posterior surface of the lobe with the base facing the edge of the wound, followed by suturing the resulting wound on the posterior surface of the lobe with an intradermal suture.