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Simple Aesthetic Correction for Patients with Acute Auriculocephalic Angle
이병미,강석주,선훅 대한두개안면성형외과학회 2015 Archives of Craniofacial Surgery Vol.16 No.1
Background: Acute auriculocephalic angle refers to an ear with helix that is spacedclosely to the cranium. An increasing number of patients with acute auriculocephalicangle wish to undergo corrective operation for aesthetic purposes. However, there is apaucity of data regarding acute auriculocephalic angle. This paper proposes a treatmentprotocol for patients with acute auriculocephalic angle. Methods: We performed a retrospective analysis of patients undergoing acute auriculocephalicangle (4 patients, 6 ears). Patient records were reviewed for demographic dataas well as auricular measurements at preoperative, immediate postoperative and finalfollow-up evaluations. Results: All of the patients were men with a mean age of 36.5 years (range, 23–52years). The mean follow-up period was 47.5 months (range, 28–60 months). Postoperativeauriculocephalic angle was close to the normal auriculocephalic angle (25˚–30˚)without notable scars. Moreover, the patients had minimal contractions of the skin flapswithout any hematoma or relapse. Conclusion: We propose the following three treatment protocols for patients with acuteauriculocephalic angle: the posterior auricular muscle should be sufficiently released,the mastoid area should be augmented using implants, the skin should be repositionedwith a superior auricular flap.