乳突区扩张皮瓣Medpor支架全耳郭再造术  

Otoplasty with expanded skin flap on the mastoid region and Medpor scaffold

作　　者：张本寿[1] 林子豪[2] 杨志刚[1] 赵跃中[1] 水祥兵[1] 郑翔[1] 徐志久[1] 邓云[1] 

机构地区：[1]中国人民解放军第一00医院外科,江苏苏州215007 [2]第二军医大学长征医院整形外科

出　　处：《中国美容整形外科杂志》2009年第2期101-103,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨采用耳后乳突区扩张皮瓣包裹Medpor支架行全耳郭再造术的方法和效果。方法将先天性小耳畸形的全耳郭再造分两期进行。Ⅰ期于耳后乳突区行皮肤扩张术；Ⅱ期将Medpor支架雕塑成形后固定于患耳乳突区，然后用扩张的皮瓣包裹支架。自2001年10月至2007年6月，对36例先天性小耳畸形患者行全耳郭再造术。结果36例患者的创口均Ⅰ期愈合，再造耳郭外形较逼真．且肤色红润、感觉无异常。术后经3个月至5年的随访，再造耳郭无吸收及变形。结论Medpor支架是一种良好组织代用品，而耳后乳突区皮瓣的色泽、质地与耳部及其周围的皮肤相近。该手术方法是矫治先天性小耳畸形较理想的方法。Objective To explore the method and result of otoplasty with expanded skin flap on the mastoid region and Medpor scaffold. Methods Reconsruction of 36 cases with congenital microtia were divided into 2 periods. The primary stage was performed the skin flap expansion on mastoid region, the secondary stage was performed by making the Medpor scaffold fixed on the mastoid region of injuried side, and then it was covered perfectly with the expanded skin flap. From October 2001 to June 2007, 36 cases with congenital microtia were performed the otoplasty. Results All 36 cases were healed primary with vivid ear contour, natural skin color and without abnormal sensation. There were no absorption and deformation of rebuilded ear after 5 years follow-up. Conclusion It showed that the Medpor used in auricle rebuild as scaffold was a good tissue substitutes, the color and texture of the expanded skin flap on mastoid region were close to skin the around it. It is an ideal operative method for reconstructing congenital microtia.

关 键 词：先天性小耳畸形 耳郭再造术 耳后扩张皮瓣 MEDPOR支架 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]