手术去毛法在低发际小耳畸形者耳廓再造中的应用  

Surgical depilation in low hairline aurical reconstruction

作　　者：唐勇[1] 庄洪兴[1] 杨庆华[1] 韩娟[1] 赵延勇[1] 

机构地区：[1]中国医学科学院中国协和医科大学整形外科医院,北京100041

出　　处：《中华整形外科杂志》2002年第5期297-298,共2页Chinese Journal of Plastic Surgery

摘　　要：目的　探讨低发际者以手术去毛发后的皮肤再造耳廓的方法。方法　对于发际特低型小耳畸形患者 ,以手术去毛法去除其耳后带毛皮肤的部分毛囊和真皮 ,使之形成皮片后回植。半年后再扩张此区皮肤 ,以扩张皮瓣覆盖耳支架的方法再造耳廓。对于发际稍低型小耳畸形患者 ,经扩张耳后带毛皮肤后以手术去毛发去除部分毛囊 ,然后再造耳廓。结果　经手术去毛发后的皮肤扩张过程顺利 ,再造耳廓外形良好 ,皮肤上仅再生出很少短细的浅色毛发。结论　在低发际小耳畸型的耳廓再造中 ,手术去毛法是有效可行的方法。Objective\ Low hairline is one of the most troublesome problem in auricle reconstruction. There was no satisfactory way to manage the problem. This article discuss surgical depilation to deal with this problem and reconstructed auricle. Methods\ According to the degree of the low hairline, Postaurical scalp was expanded and part of the lower follicles within the dermal were removed, or postaurical scalp that part of lower follicles and dermal had been removed was expanded and covered skeleton of ear with this expanded skin to reconstructed auricle. Results\ Auricles were reconstructed with this method in 152 lowhairline microtial cases, the result was very satisfactory. Conclusion\ This procedure is an effective way to deal with low hairline in reconstructing auricle.\;

关 键 词：低发际 小耳畸形 手术去毛法 耳廓再造 皮肤扩张术 

分 类 号：R62[医药卫生—整形外科]