颞浅筋膜瓣一期耳再造与传统法的回顾性分析  

Retrospective analysis of one-stage ear reconstruction by temporal fascia and the traditional method

作　　者：李文芳[1] 刘伟[1] 杨红华[1] 章杰[1] 

机构地区：[1]南昌大学一附院整形美容科,江西南昌330006

出　　处：《现代预防医学》2012年第24期6497-6498,6502,共3页Modern Preventive Medicine

基　　金：江西省卫生厅课题(20033018)

摘　　要：目的探讨颞浅筋膜瓣翻转包裹耳支架一期耳再造的应用效果和操作要点,并与传统方法作回顾性分析比较。方法先天性小耳畸形30例,颞筋膜瓣一期耳再造方法和传统分期手术方法各15例。结果颞筋膜瓣一期耳再造方法随访3～24个月,仅3例术后发生轻微血肿,经处理均未影响手术效果。15例患者再造耳廓外形满意。回顾15例以往的传统分期手术方法,手术两期完成,外形缺乏立体感。结论颞浅筋膜瓣翻转耳支架修复先天性小耳畸形,Ⅰ期完成,手术时间短、操作步骤少、患者损伤小;术后外形满意;传统法耳再造手术需要多次手术完成,耗时较长,操作步骤烦琐、患者损伤相对较大;术后外形比较臃肿,立体感差,患者欠满意。颞浅筋膜瓣一期耳再造是一种较好的小耳畸形修复的方法。OBJECTIVE To study and compare ear reconstruction by temporal fascia and the readitional method. METHODS 30 cases of congenital ear malformation were divided to the temporal fascia disc method and the traditional method, with 15 cas- es in each. RESULTS Followed up by 3-24 months, only 3 cases had slight hematoma. All patients had satisfactory appearance by the temporal fascia disc. By review of the traditional method, the operations needed 2 stages and lacks of aesthetic appear- ance. CONCLUSION The temporal fascia disc method for ear reconstruction just need one stage, and the operation takes less time and procedure. The patients are satisfied with results and have less postoperative symptoms.

关 键 词：颞浅筋膜 MEDPOR耳支架 小耳畸形 耳再造 

分 类 号：R622[医药卫生—整形外科]