First of all, cauliflower ears
Features: after auricle burn or trauma, cartilage infection and destruction, cartilage contracture, thickening, deformation and curl, and the shape of auricle is extremely irregular, which is called cauliflower ear.
Correction method: If the residual skin is fine, you can cut it from the edge of the front helix, carefully peel off the cartilage to relieve the pain, remove the thickened or ossified cartilage and scar tissue as much as possible, and then implant a curved cartilage.
Second, deaf ears.
Features: the hidden ear, also called the bag ear, is the skin in front of the external ear connected with the skin on the cranial side except the earlobe. The structure of auricle cartilage is basically normal, but it can't protrude normally when buried in the skin, and the cranioauricular groove disappears. When lifting or pressing, the normal auricle shape can appear, and then it will be retracted after relaxation. Sometimes, the foot of the helix is angulated and the cartilage of the helix is folded.
Correction method: dissect the upper part of auricular cartilage hidden in temporal scalp and establish a stable posterior auricular sulcus. Specific methods can be divided into skin grafting and local skin flap approval.
Third, the ear
Characteristics: Auricularia auricula is a common congenital ear malformation, which is more common on both sides. It shows that the auricle is slightly larger, the upper part is flat, the helix is underdeveloped and the shape disappears.
Correction methods: Barsky method, cartilage excision method, multiple V-shaped incisions and grinding method.
Fourth, cup-shaped ears
Features: At the upper part of the auricle, the helix contracts, curls and adheres to the cartilage of the auricle, and the foot of the helix moves down, making the helix and its hind foot flatten or even disappear, widening the concha, bending the edge of the helix towards the concha, and the helix is cup-shaped, and in severe cases, it is almost tubular.
Correction method: for those with mild or moderate cup-shaped ear deformity, local plastic surgery can be performed on the auricle; In severe cases, due to serious tissue defects, partial auricle reconstruction is often needed to be effective. The common surgical method is to make an incision parallel to the upper edge of the helix at least 1cm away from the posterior medial surface of the auricle to expose the curled and deformed cartilage; Then it is lifted in an arc shape, properly placed on the posterior medial surface of cartilage at the ossicular position, and fixed with a few stitches with thin lines.
Five, earlobe deformity
Features: Congenital adhesion and earlobe cleft, or earlobe cleft caused by earlobe defect and improper wearing of earrings. Some people's earlobes are too large, which also leads to unsightly ears.
Correction method: plastic surgery for earlobe adhesion: a triangular piece of skin and fatty tissue was removed at the adhesion between earlobe and face, and the incision was sutured; Plastic surgery for earlobe cleft: the whole layer of cleft edge is removed to form a fresh wound, which is carefully sutured after alignment; Wide earlobe plastic surgery: cut a triangular full-thickness tissue block from the middle of the wide earlobe to stop bleeding, and then carefully sew the cut edges layer by layer. For the wide helix, cut off the helix first, cut off the crescent-shaped full-layer tissue block to repair the end of the helix, cut off the redundant part, sew the lower end of the helix in layers, and then sew the upper end of the helix.