先天性小耳畸形扩张法耳再造Ⅰ期残耳的处理  

Treatment of residual ear with skin expansion in auricular reconstruction of microtia

作　　者：堵顶云 蒋文杰[2] 周丽娜[1] 

机构地区：[1]北京航天总医院整形外科,100076 [2]中国医学科学院北京协和医学院整形外科医院

出　　处：《中国现代医药杂志》2011年第8期60-61,共2页Modern Medicine Journal of China

摘　　要：目的探讨扩张法耳再造治疗先天性小耳畸形Ⅰ期合理应用残耳的方法。方法对31例单侧先天性小耳畸形患者分别采用残耳软骨切除、残耳上中部切开、用V-Y或Y-V成形矫正残耳位置等方法治疗,同时于耳后乳突区植入50ml肾形皮肤扩张器1枚。结果残耳处理后血运良好,全部成活,切口Ⅰ期愈合。Ⅱ期耳再造后利用残耳形成的耳垂存活良好,皮肤无破溃。结论合理应用残耳是施行外耳再造术,保证再造耳皮瓣的血运及再造耳与健侧耳对称的重要因素。Objective To explore the reasonable treatment of the residual ear.Methods Thirty-one cases with unilateral microtia were treated with the incision of cartilage of residual ear,the middle and superior part of the residual ear was cut,＂V-Y＂ or ＂Y-V＂ plasty according to the location of the residual ear.A 50 ml kidney-liked expander was implanted into post aurem subcutaneous tissue.Results The residual ears treated had good blood circulation.The wounds healed by first intention.Conclusion Treating residual ear reasonably is a key factor of successful auricular reconstruction and the symmetry of the reconstructed ear.

关 键 词：残耳 先天性小耳畸形 外耳再造 

分 类 号：R764[医药卫生—耳鼻咽喉科]