耳廓皮肤脱套技术在招风耳整形中的应用  

Application of auricle skin degloving technique in correction surgery of prominent ears

作　　者：唐泓波[1] 陈雪[1] 马晓冬[1] 侯楷[1] 邓裴[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院整形外科,武汉430030

出　　处：《中华耳鼻咽喉头颈外科杂志》2015年第5期397-400,共4页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

摘　　要：目的 探讨应用耳轮、对耳轮部皮肤脱套技术矫治招风耳畸形的效果.方法 回顾性分析2010年1月至2014年9月共23例（38耳）招风耳畸形患者,应用耳轮、对耳轮部皮肤脱套技术进行畸形矫正,术后随访3个月～2年（平均8个月）,观察手术效果.结果 38耳术后畸形均得到矫正,双侧基本对称,外观自然流畅,切口愈合良好.耳轮至颅骨的距离较术前明显降低,颅耳角及耳轮与耳舟的角度均较术前明显减小（P值均＜0.05）.术后无感染、血肿、皮瓣坏死及畸形复发等并发症发生.结论 结合耳廓皮肤脱套技术的招风耳整形手术缝合位置确切,塑形效果良好,对软骨形态无明显破坏。Objective To investigate the effect of helix and antihelix skin degloving technique in correction surgery of prominent ears.Methods Twenty-three cases of prominent ears were corrected by helix and antihelix skin degloving technique.The clinical results were observed.Results All the prominent ears were corrected with natural appearance and good symmetry results.The distance from the helix to the skull was decreased obviously （P 〈 0.05）.Cranial ear angle,the angle of helix and ear boat were significantly reduced （P 〈 0.05）.No complications such as infection,hematoma,skin flap necrosis and deformity recurrence occurred.Conclusions The auricle skin degloving technique has advantages of exact suture position,good shape,no obvious cartilage hurt and simple operation procedure.

关 键 词：耳廓 先天畸形 外科 整形 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]