再造耳廓三期修复抬高耳颅角56例临床报道  

Repair of the Reconstructed Ear using Part of Concha Residual Tissue Elevation Cranioauricular Angle: 56 Cases Report

作　　者：宋现浦 郭万厚[1] 田书亮[1] 

机构地区：[1]河北联合大学附属医院整形科,河北063001

出　　处：《中华耳科学杂志》2014年第4期566-568,共3页Chinese Journal of Otology

摘　　要：目的探讨耳廓再造术后三期中利用耳甲腔部残留组织抬高耳颅角的一种方法方法于再造耳廓的耳甲腔位置做一蒂在耳屏位置的半圆形切口,切开皮肤剥离皮肤之下的筋膜瓣组织至合适的耳甲腔大小,将此筋膜瓣带蒂通过隧道牵拉反折至耳支架后方耳颅角处固定,使患侧耳颅角抬高,耳甲腔及耳颅角处分别植皮。结果本组患者共56例,均应用此方法抬高耳颅角,术后随访患者40例,随访时间6-14个月,平均随访时间11个月,术后耳颅角维持在20-30°,外形美观,患者满意。结论耳甲腔下筋膜瓣组织转移行耳颅角抬高手术方式简便可行,安全,并发症少,是值得推广的一种方法。Objective Discussion on a method how to use the residual tissue of cavum conchae department to elevate cranioauricular angle after three period of auricle reconstruction. Method At the reconstructed auricle of cavum conchae position make a pedicle at the tragus and the incision is semi circular , then make a incision in the skin and peel the skin un？der the fascia flap tissue to the right size suit for the cavum conchae.The fascia flap pedicled through the tunnel is fixed on the cranioauricular angle behind the ear scaffold, so that the ipsilateral cranioauricular angle elevation , skin grafting at the conchae and cranioauricular angle position. Result This group of patients with a total of 56 cases, all the patients use this method, 40 cases of patients were followed up, and the follow-up time was 6-14 months, an average follow-up time was 11 months,postoperative cranioauricular angle is maintained at 20-30 angle,and have a attractive appearance and the patients was satisfied with the effect . Conclusion Concha fascia flap transfer line make the cranioauricular angle elevation operation method simple ,feasible, safety, and less complications ,this is a method that worth of popularization.

关 键 词：耳颅角 耳甲腔 耳廓三期修复 再造耳廓 修复 

分 类 号：R764.71[医药卫生—耳鼻咽喉科]