If the newborn baby can be treated without surgery, it can directly massage the corrective device made of the shape of the upper part of the auricle of the child, and then fix it on the upper part of the auricle to keep it in a state of continuous traction, where the tense skin gradually relaxes, revealing the shape of the auricle. /kloc-surgery is required after 0/year old. Adults who need correction can generally have surgery. Children need general anesthesia surgery, and bilateral deafness can be completed in one operation; Adults can do it under local anesthesia.
1. In addition to a certain impact on the appearance, patients can't wear glasses because the upper part of the auricle is buried under the skin and there is no otocranial groove. Water also flows into the ear canal during bathing, which brings inconvenience to life and should be treated as soon as possible.
2./kloc-infants under 0/year old can try non-surgical therapy, that is, make special corrective devices according to the shape of the upper part of the child's auricle. Then it is fixed on the upper part of the auricle to keep it in a pulling state, so that the tense skin there gradually relaxes and reveals the shape of the auricle.
3./kloc-surgery is required after 0/year old. Adults who require correction can generally have surgery, children need general anesthesia surgery, and bilateral patients can have one-time surgery.
The simplest method is to cut the upper part of auricle along the edge of auricle cartilage, cut the cartilage to the root of concha cartilage, and then cover the wound behind auricle and cranial side wall with free skin graft. Because the skin graft is easy to atrophy after operation, local skin flap transfer or local skin flap plus skin graft is often used at present.
1, local skin flap plus skin graft can be used for patients with severe deafness or low hairline above the ear, when only local skin flap can not cover all wounds. Application of local flap transfer method
2. A triangular flap pedicled with the upper auricle was designed by V-Y advancing flap. Lift the triangular flap, peel off the adhesion surface of the auricle, and then fold the triangular flap downward and backward on the formed wound. The two sides of the donor site wound are secretly separated and then directly pulled and sutured.
Characteristics after plastic surgery for deaf ears;
1. The surgical method is to dissect the upper part of the auricular cartilage hidden in the temporal scalp and establish a stable posterior auricular sulcus. Specific methods can be divided into skin grafting and local skin flap batch transplantation.
2. There is no posterior auricular sulcus in this cause, which brings great inconvenience to patients. In addition to not wearing eyes when taking a bath, water can easily flow into the external auditory canal. Therefore, surgery can not only improve the appearance, but also solve the dysfunction.
3. Routine use of antibiotics for 3-5 days, suture removal about one week after skin flap operation, and suture removal 12 days after skin flap and skin graft operation. There should be no external influence in the short term after operation.
Contraindications for plastic surgery of concealed ear:
Elderly patients with weak health should be cautious, and those with ear ulcers should be operated after treatment.