From the plastic surgery point of view, the normal auricle is symmetrical left and right, between the human eye and the level of occipital protuberance. Auricular malformation includes congenital and acquired aspects. Congenital malformations include small ears, big ears, waving ears, shell-shaped ears, hanging ears, hidden ears, orangutan ears and so on. Acquired deformities include auricle trauma, auricle defect and cauliflower ear. Whether it is congenital malformation or acquired injury, it will have an impact on people's appearance and even bring mental pain.
Congenital auricle malformation is more common in small ears and windy ears. The incidence of congenital microtia is about one in 20,000. Most of them are unilateral, occasionally bilateral, and the ratio of single and bilateral is 8∶ 1. The main treatment is surgical repair, that is, total auricle reconstruction. At present, it is advocated to complete total auricle reconstruction before school age. Total auricle reconstruction is usually completed in stages, and the operation is complicated. Congenital auricle is often corrected by surgery.
The auricle is exposed and protrudes to the cranial side, which often leads to auricle trauma, auricle defect and cauliflower-like ear under the influence of acquired factors such as squeezing, tearing, cutting, biting, burning and infection. In the initial stage of auricle "disaster" caused by acquired factors, if handled properly, deformity can often be alleviated. If the deformity is formed, surgical methods are often used for plastic repair. It should be said that the repair of total ear defect is one of the more difficult and complicated operations in plastic surgery.
Usually the part closest to the auricle is the lower earlobe. Its skin is thin and tender, the subcutaneous tissue is rich in fat and connective tissue, and there is no cartilage, so you can often wear earrings to add luster. Generally speaking, the most suitable position of the ear hole is to make a vertical line from the notch of the tragus to the lower edge of the earlobe, and divide this vertical line into three sections, and the junction of the upper, middle 1/3 is the ear hole piercing point. At present, there are two ways of piercing ears: mechanical and laser. In addition to paying attention to disinfection and avoiding infection during puncture, people with scar constitution must be careful, otherwise it will cause scar hyperplasia of earlobe, red and itchy, which is not worth the candle. These examples are not rare in clinic, so we should pay attention to them.