Описаните в литературата техники за хирургично лечение на отоклизиса могат да се разглеждат в две главни категории: съхраняващи хрущяла и отслабващи хрущяла чрез надрязване или изпиляване. Стремежът и при двете групи е корекция на антихеликса и издадената конха. Съчетаването на елементи от двата метода цели да се избегнат недостатъците на всеки един от тях. Настоящата статия представя опита ни от приложението на комбинирана и съхраняваща хрущяла техники за корекция на проминиращи уши при 72 пациенти на възраст от 6 до 45 години. Билатерална отопластика е извършена при 67 от случаите и унилатерална в 5 случая. Техника, съхраняваща хрущяла, е приложена при 48 от пациентите. Комбиниран метод е използван при 24 пациенти. Разпределението на получените резултати е както следва: отлични – 67 (93.05%) от случаите, много добри – 2 (2.78%) и незадоволителен – 3 (4.17%) пациенти. Обсъждат се постигнатите резултати и се дискутират предимствата и недостатъците на различните методи.
The techniques described in literature for the surgical treatment of otoclysis can be considered in two main categories: cartilage sparing and cartilage weakening by snipping or rasping. The aim in both groups is the antihelix and the protruding concha correction. The purpose of combining elements of both methods is to avoid the disadvantages of each procedure. This article presents our experience with the application of cartilage sparing and combined technique for correction of protruding ears in 72 patients aged 6 to 45 years. Otoplasty is performed bilaterally in 67 cases and unilaterally in 5 cases. Preserving cartilage technique was applied in 48 patients.Combined method was used in 24 patients. The distribution of
the results is as follows: excellent – 67 (93.05%) of the cases, very good – 2 (2.78%) and unsatisfactory – 3 (4.17%) patients. The obtained results and the advantages and disadvantages of different methods are being discussed.
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