一次成形耳廓再造术在适宜患者群中的应用研究  

Clinical Application Studies of One-Stage Total Ear Reconstruction on Eligible Patients

作　　者：刘戈[1] 杨庆华[1] 林琳[1] 燕静杰 黄琬璐[1] 蒋海越[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整形七科,北京100144

出　　处：《中华耳科学杂志》2013年第4期493-495,共3页Chinese Journal of Otology

基　　金：十二五国家科技支撑计划项目(2012BAII2B00);首都发展基金(2011-4004-01);整形医院院所基金重大项目(耳廓再造术后远期变化的病例对照研究)

摘　　要：目的探讨“一次成形”耳廓再造术在适宜患者群中的应用。方法选取自2011年3月至2013年7月期间本科室收入的24例需外耳再造患者，应用自体肋软骨支架移植行一次成形法耳廓再造。对照组为同期科室收入的相同病例，应用扩张皮瓣法行耳廓再造。结果经过术后1个月～2年的随访，平均随访约1年，其中拥有耳甲腔的再造耳形态逼真。Ⅱ度小耳畸形患者，与扩张皮瓣法耳廓再造相比，一次成形法耳甲腔较浅。24只再造耳廓总体形态效果较为满意。结论“一次成形”技术操作周期短，并发症少，与扩张皮瓣法相较，亦可以显现耳廓表面细微结构，兼具外形与立体感，在合适的患者群中，是一项可靠稳定的外耳再造术。Objective To analyze the clinical efficacy of one-stage total process technique in ear reconstruction on eligi- ble patients. Methods 24 patients from March 2011 to July 2013 were selected to undertake the one-stage total ear reconstruc- tion using autologous costal cartilage framework. The control group is made up by patients in same period using soft tissue ex- pander in ear reconstruction. Results A11 patients were followed up for 1 m ~ 2 Y（average 1 y）after surgery. For that cases that possessed cavity of auricular concha, the reconstructed ears were coincidence with the normal side on location, form and dimen- sion. While for the cases belonged to degree 1I microtia, Compared with the ear reconstruction using soft tissue expander, the one-stage total reconstructed ears seemed like having a little shallow cavity of auricular concha. However, the overall appear- ance was relatively satisfied in all 24 reconstructed auricles. Conclusions Compared with the ear reconstruction using soft tis- sue expander, the one-stage technique is suitable to eligible patients for the priority on shorter treatment time with few compli- cations and acquiring excellent reconstructed structure as well.

关 键 词：一次成形 双瓣技术 耳廓再造 耳前皮瓣 筋膜瓣 

分 类 号：R764.71[医药卫生—耳鼻咽喉科]