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Korrektur von formfehlern der ohrmuschel

  • C. Walter
Article

Zusammenfassung

Nach einem kurzen Überblick über die Entwicklungsgeschichte wird auf die 4 Haupttypen von Ohrmuscheldeformitäten hingewiesen. Nach den Untersuchungen von Pellnitz und Adamson ist es nicht sinnvoll, die Ohrmuschelkorrektur vor dem 5.–6. Lebensjahr zu beginnen, da man dadurch das Wachstum beeinträchtigen könnte. Die heute am häufigsten verwendeten Operationsverfahren lassen sich einteilen in 1. Schnitt-, 2. Naht- und 3. Schnittnahttechniken. Alle these Verfahren haben zum Ziel, die Ohrmuschel mit ihrem Relief nachzubilden. Dabei hat der Anthelix entscheidende Bedeutung. Nachdem Luckett und Ely auf diesen Haut-Knorpelwulst hingewiesen und eine Schnittführung zu seiner Nachbildung angegeben haben, die aber eine zu scharfe Knorpelkante hinterläßt, erreichen Becker, Converse und die vielen nachfolgenden Operateure einen runden Anthelixrand durch Knorpelausdünnung mit dem. Messer oder der Fräse. Auf einzelne Punkte dieser verschiedenen Verfahren wird ausführlich eingegangen. Die Nahttechnik stellt die Rekonstruktion des Anthelix mittels subeutan gelegter Fäden dar. Nach ihrem Begründer Mustardè kann man fast alle Ohrmuscheldeformit↦en auf these Weise korrigieren. Schließlich wird noch die Schnitt-Nahttechnik beschrieben, die eine Kombination aus 1. und 2. darstellt. Der Korrektur des Ohrläppchens wird besonderes Augenmerk zugewandt. Die Beschreibung der Korrekturmöglichkeiten bei weitergehenden Verbildungen der Ohrmuschel im Sinn des Tassen- und Schneckenohres durch Aufklappen der Ohrmuschel und Rekonstruktion mittels Schwenklappen bildet den Abschluß dieses Kapitels, wobei Hinweise auf die Behandlung von Komplikationen and Hämatomen nicht fehlen.

Correction of deformities of the ear-auricle

Summary

After a short survey about the embryological development the four maindeformities of the auricle are described. According to the findings of some authors it is advisable not to start with ear corrections until to the age of 5–6 years because otherwise the development of the auricle might be hampered. There are three types of operative procedures: 1. incision technique, 2. suture technique and 3. incision-suture technique. These three techniques all aim at recreating the normal contour of the auricle relief. Especially important is the configuration of the anthelix. Since simple cutting of the cartilage along the anthelix line produced an unnatural looking sharp edge the recently developed operative procedures achieve the soft anthelix fold by thinning the cartilage either with a knife or with a burr. The article contains a detailed description of the different techniques. The suture technique shows the reconstruction of the anthelix by applying subcutaneous sutures along the anthelixfold. The incision-suture technique is a combination of 1 and 2 technique. In the article procedures to change the position of the pinna are explained also. The final chapter of the article is devoted to reconstruction procedures in cases of more extensive deformities (cup ear etc.) using postauricular or island flaps. Suggestions are also made how to deal with complications and how to treat hematomas.

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© Springer-Verlag 1972

Authors and Affiliations

  • C. Walter
    • 1
  1. 1.Essen-BredeneyDeutschland

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