双侧先天性小耳畸形的耳廓再造术  

Bilateral ear reconstruction in the treatment of congenital microtia

作　　者：刘新海[1] 章庆国[1] 全玉竹[1] 谢洋春[1] 石蕾[1] 苏远达[1] 

机构地区：[1]中国医学科学院北京协和医学院整形外科医院耳整形再造二科,北京100144

出　　处：《中国美容医学》2009年第2期182-184,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨双侧先天性小耳畸形的外耳再造手术治疗方法。方法:2007年3月～2008年6月对21例双侧先天性小耳畸形采用耳后皮肤扩张结合自体肋软骨支架植入,耳后筋膜瓣掀起,中厚植皮术双侧同期进行外耳再造。结果:经6个月～1年的随访观察,21例中除2例再造耳有不同程度的软骨吸收、变形外,其余再造耳的大小、形状、位置与面部协调,双侧对称,再造耳外形逼真,微细结构显示清晰。结论:对于双侧先天性小耳畸形,同期应用耳后皮肤扩张结合自体肋软骨支架植入,耳后筋膜瓣掀起,中厚植皮术进行外耳再造,方案可行,效果满意,是双侧先天性小耳畸形理想的外耳再造手术治疗方法。Objective To explore surgical procedure of congenital bilateral microtia. Methods From March 2007 to June 2008, Bilateral ear reconstruction was made in the same stage in 21 patients. In the first stage we implant a 50ml expander in either posterior side of auricular. In the second stage we use autogenous rib cartilage framework to reconstruct bilateral ear and In the third stage reconstruct tragus and repair the wound using the reserving leftover ear. Results Long time follow-up from 6 months to one year, except 2 cases showed that the cartilage somewhat resorption or deformation, the other cases showed that the reconstructed ears were coincidence with the face on location, form and dimension. Conclusions It was a good method for congenital bilateral microtia to use soft tissue skin expander together with autogenous rib cartilage framework at the same time.

关 键 词：先天性小耳畸形 皮肤软组织扩张器 自体肋软骨支架 外耳再造 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]