游离肋软骨联合耳轮舒展矫正TanzerⅡB型杯状耳畸形  

Free costal cartilage combined with helix stretching for correction of Tanzer ⅡB type constricted ear deformity

作　　者：于晓波 蒋海越 Yu Xiaobo;Jiang Haiyue(Department of 7th,Plastic Surgery Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100144,China)

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,100144

出　　处：《中华整形外科杂志》2019年第7期671-673,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨应用游离肋软骨联合耳轮舒展矫正TanzerⅡB型杯状耳畸形的临床效果.方法2015年1月至2017年1月,对6例(8耳)就诊于中国医学科学院整形外科医院的TanzerⅡB型杯状耳畸形患者,采用游离肋软骨联合耳轮舒展进行矫正.术中设计耳上舌形皮瓣,制备耳轮皮下隧道,舒展耳轮软骨后,将雕刻的游离肋软骨条插入耳轮皮下隧道,舌形皮瓣旋转至耳前覆盖创面.结果术后患者切口均一期愈合,无明显并发症,无皮瓣坏死、软骨外露等情况,耳轮、对耳轮结构清晰.随访3个月至1年,患侧外耳外形与健侧较一致,外形满意.结论游离肋软骨联合耳轮舒展可有效矫正TanzerⅡB型杯状耳畸形.Objective To explore the effect of using free costal cartilage combined with helix stretching to correct Tanzer IIB type constricted ear deformity. Methods From January 2015 to January 2017, free costal cartilage combined with helix stretching method was performed in 8 ears of 6 patients. All patients had Tanzer IIB type constricted ear deformity. Rotation flap and subcutaneous helix tunnel were designed and prepared. Thereafter, the helix cartilage was stretched. The costal cartilage was carved and placed in the helix subcutaneous tunnel. The flap was then rotated to cover the wound. Results All patients were recovered without significant complication. No flap necrosis or cartilage exposure was observed. Helix and antihelix were obvious. The corrected ears were similar to the healthy side, after 3 to 6 months follow up. Conclusions The combination of free costal cartilage and helix stretching is an effective method to correct Tanzer ⅡB type constricted ear deformity.

关 键 词：先天性杯状耳 小耳畸形 耳成形术 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]