皮肤扩张术联合自体肋软骨移植法行耳垂再造  

Skin expansion combined with costal cartilage transplantation for reconstruction of earlobe defect

作　　者：薛峰[1] 庄洪兴[1] 王淑杰[1] 赵延勇[1] 邹艺辉[1] 李矫阳 

机构地区：[1]中国协和医科大学中国医学科学院整形外科医院外耳再造中心,北京100041 [2]辽宁省东港市中心医院整形外科,辽宁东港118300

出　　处：《中国美容医学》2006年第7期758-761,i0001,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨采用不同方式的皮瓣法尤其是皮肤扩张术+自体肋软骨移植再造法对不同程度的耳垂缺损畸形患者进行手术整复。方法:自1999年11月～2006年2月共收治耳垂缺损畸形患者25例,所有患者均进行手术治疗,根据耳垂缺损的大小分别采用不同的手术方式进行修复再造。对于10例缺损面积较小的耳垂缺损畸形患者采用耳轮滑行推进皮瓣法修复;对于8例中等程度的耳垂缺损畸形采用耳后皮瓣法修复;对于7例耳垂完全缺损或虽不是耳垂完全缺损但健侧耳垂较大的患者,采用皮肤扩张术+自体肋软骨移植再造法进行修复。结果:25例患者分别采用耳轮滑行推进皮瓣法、耳后皮瓣法、皮肤扩张术+自体肋软骨移植再造法进行修复与再造后,耳廓形态良好。随访3月～6年,效果满意。结论:对于不同程度的耳垂缺损畸形,应根据具体情况采用相应的手术修复方法,以达到最佳的治疗效果。对于耳垂完全缺损患者,应首选皮肤扩张术+自体肋软骨移植再造法,可以获得良好而持久的再造耳垂形态。Objective To explore a good method for the treatment of earlobe defect. Methods From November 1999 to February 2006, twenty-five cases of earlobe defect underwent reconstruction of earlobe defect. All patients were divided into three groups： Sliding skin flap group （n = 10）, post-auricular local skin flap group （n = 8）, and skin expansion combined with costal cartilage transplantation group （n = 7）. Results Sliding skin flap, post-auricular local skin flap and skin expansion combined with costal cartilage transplantation were used respectively in 25 cases of earlobe defect. Postoperative appearance was satisfying. A follow-up of 3 months to 6 years showed that all of the patients had good results and were satisfied with the cosmetic appearance. Conclusion Different methods should be undertaken for earlobe defect of different sizes. Combination of resection and plastic surgery is a good and effective method for total earlobe defect.

关 键 词：耳垂缺损 皮肤扩张术 软骨 移植 

分 类 号：R764.7[医药卫生—耳鼻咽喉科]