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Ears orthopedics

Ears are on both sides of the skull. The upper side of the auricle is level to eyebrows and the bottom is level to nosewings. Its axis is paralleled with the nose and 30 degrees is formed between ears and lateral walls.

Various auricle deformity reconstructions:

Cauliflower Ears: Being burned or injured, the infection and damage of cartilage make itself contracture and become thick and deformed and curl together. This irregular shape is known as cauliflower ear. As to cauliflower ears rehabilitation, when residual skin is comparatively good, doctors cut open the edge of helices, then strip cartilage and loose it carefully, removing the thick or ossified cartilage and scars as much as possible. After that, a piece of crooked cartilage is implanted into the ear.

Cryptotia: It’s also called pocket ear. It’s a rare geneogenous ear deformation, which is featured by that all the ear skin is connected with cranial skin, except for the earlobe, and normally structured auricle cartilage is buried into skin so as to it cannot stand, the grooves between ears and skull disappear, too. Normal auricle shape appears when lifting and pressing it, but draws back again when loosing it. Sometimes, upper corner of anti-helix has deformity and helices cartilage folds.

Protruding ears: It’s a common geneogenous ear deformation, which can often been seen on both sides. It is characterized by a big auricle, flat upper half part, hypoplasia of anti-helices, and disappearance of shape. And furthermore, concha auricular is overgrown and form a more than 150-degree angle with scapha (90 degree is normal). Generally speaking, it’s better to take a rehabilitation of bat ears after 5 to 6 years old and operate on both two sides spontaneously. In spite of various rehabilitation means, they share the same principle that helices and its upper corner should be restored and the cavum conchae should be reduced.

Cup ears: It’s also known as curling ears or lop ears, which is a common geneogenous ear deformation. It happens on both sides. It’s characterized with contraction of helices margin, curling and adhered cartilage of helices and auricle and narrow scapha and triangular fossa. More severely, the whole upper part of auricle reduces and droops, the shape of scapha and helices cannot be seen. The whole auricle is tube-shaped which is called the boat-shaped ear. The rehabilitation of cup ears is taken after 6 years old, which encompasses corrections of there deformed parts ------ the corrections of curling or droopy upper auricle, of the length insufficiency of whole helices, of anti-helices and deformed concha auricular.

Earlobe deformation:

Rehabilitation of earlobe coloboma: It’s usually caused by pulling earrings violently. All margin of slit could be cut out and then stitch it together, which is quite easy. But you cannot wear earrings right now and have to be perforated again.

Correction of earlobe adhesion: It’s often caused by autogenously healing after burn and injury. Rehabilitation should help loose scar enough to make earlobe as normal.

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