改良法矫正杯状耳畸形的疗效观察  

EFFECTIVENESS OF MODIFIED METHOD FOR CUP EAR DEFORMITY

作　　者：刘全[1] 游晓波[1] 张家建[1] 

机构地区：[1]四川省医学科学院.四川省人民医院整形外科,成都610072

出　　处：《中国修复重建外科杂志》2012年第12期1482-1485,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的介绍一种矫正Ⅰ、Ⅱ型杯状耳的改良术式并总结其疗效。方法 2006年5月-2011年11月,收治23例(27侧)Ⅰ、Ⅱ型杯状耳患者。男14例,女9例;年龄7～16岁,平均10岁。单侧19例,双侧4例。临床表现为耳轮、耳舟变平,耳廓上1/3下垂。按照Tanzer的杯状耳分型标准,Ⅰ型6侧,Ⅱ型21侧。手术采用耳颅沟内弧形切口,脱套剥离耳软骨前、后方皮肤,重新定位耳舟在颅面的起始位置及耳甲腔位置,处理畸形耳软骨,重建耳轮、对耳轮及其上、下脚。结果术后切口均Ⅰ期愈合,无血肿、切口感染、皮瓣坏死等并发症发生。术后患者均获随访,随访时间9个月～6年,中位时间36个月。耳廓无下垂,外耳轮轮廓无变形,随年龄增长无萎缩。耳舟显现清晰,耳轮、对耳轮及其上、下脚走行流畅自然,瘢痕位于耳颅沟内,无明显增生且位置隐蔽。结论改良法能基本矫正杯状耳解剖缺陷,是治疗Ⅰ、Ⅱ型杯状耳的有效方法之一。Objective To introduce a modified method to correct type I and type II cup ear and to evaluate the effectiveness. Methods Between May 2006 and November 2011, 23 patients with type I or type II cup ear （27 ears, type I in 6 ears and type II in 21 ears according to Tanzer＇s criteria） were treated. There were 14 males and 9 females with an average age of 10 years （range, 7-16 years）. The unilateral ear was involved in 19 cases and bilateral ears in 4 cases. The main clinical manifestations included the flat helix and scapha and ptosis of upper 1/3 auricle. The arc incision was adopted in the auriculocephalic angle, elevation of the dis-clothingqike flap in the front and rear of the auricular cartilage, relocation of the craniofacial initiation site of the scapha and the cavity of auricular concha, correction of deformational auricular cartilage and reconstruction of smooth helix, antihelix, superior and inferior antihelix crus. Results All the incisions healed by first intention without any hematoma, postoperative infection, or flap necrosis. All patients were followed up 9 months-6 years （median, 36 months）. No auricle ptosis, deformity contour, or atrophy was observed. The structure of the helix, scapha, and antihelix were dear, natural, and excellent. The scars at the local site were limited and unconspicuous. Conclusion Modified method can almost correct all the anatomic defects of cup ear. It is an ideal method to treat type I and type II cup ear.

关 键 词：杯状耳 改良法 畸形矫正 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]