Yağmur AYDIN, M. Zeki GÜZEL, Alpagan Mustafa YILDIRIM

Kepçe kulak kıkırdağının önden dilimleme yöntemiyle düzeltilmesi

Kepçe kulak beyazlarda %5 oranında görülür. Kepçe kulağı düzeltmek için günümüze kadar birçok teknik tarif edilmiştir. Bu teknikler kabaca kıkırdakinsizyon veya kıkırdağa dikiş koyma teknikleri olarak sınıflandırılabilir. Bu yazının amacı kıkırdak-insizyon tekniklerinden anterior scoring tekniği ile dikiş desteği olmadan kepçe kulak düzeltilmesinin teknik detaylarını sunmaktadır. Toplam 63 kepçe kulak onarıldı. Hastaların ameliyat olurken yaşları 9 ile 23 arasında (ortalama 11.8) idi. 33 hastanın 20 si kadın, 13 ü erkekti. 30 hastada ikişer ve 3 hastada tek kulak düzeltildi. Bütün hastalarda kepçe kulak anterior scoring tekniği ile dikiş desteği olmadan düzeltildi. Hastalar 5-7 gün bandajlı kaldı ve bundan sonra 3 hafta süreyle saç bandı kullandı. Hastalar ortalama 4.2 yıl takip edildiler. Herhangi bir erken veya geç komplikasyonla karşılaşılmadı. Hasta memnuniyeti bütün hastalarda ya memnun ya da çok memnun olarak değerlendirildi. Simetri hasta ailesi ve cerrah tarafından iyi ve çok iyi olarak değerlendirildi. Sonuç olarak, uzun sonuçları göz önüne alındığında anterior scoring tekniğinin kepçe kulak düzeltilmesinde güvenli ve etkili bir yöntem olduğu görüldü.

Corretion of prominent ears using anterior scoring technique

Background.- Prominent ears are frequent in the white population with an incidence of 5 percent. Many surgical techniques can roughly be classified as the cartilageincision techniques versus the sutureplacement techniques have been described to correct prominent ears. The purpose of this article is to demonstrate the details of anterior scoring technique for the correction of prominent ears and compared with other published ones. Design.- A total of 63 prominent ears underwent repair. The age of patients at surgery ranged from 9 to 23 years (mean age, 11.8 years). Of 33 patients, 20 were female and 13 were male. The procedure was bilateral in 30 cases, unilateral 3 cases. All patients were treated with anterior scoring technique alone. All patients were placed into a head bandage for 5 to 7 days and then usually for 3 weeks in a headband. Results.- Average follow-up was performed at 4,2 years. There was no encountered any complication. The patient satisfaction survey found that all patients were either very satisfied or extremely satisfied with the overall appearance of the ears. Symmetry was noted to be good to excellent by all the paients-parents and surgeon. Conclusion.- Anterior scoring technique is safe, efficacious for correction of prominent ears with excellent long-term results.

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