改良Nagata耳再造法在先天性小耳畸形患者中的美学临床应用研究  

A modified Nagata auricular reconstruction for congenital microtia

作　　者：刘晓峰[1] 周同葵 巩梦童 赵莉娜 赵兰 LIU xiao-feng;ZHOU Tong-kui;GONG Meng-tong;ZHAO li-na;ZHAO Lan(Deparment of Plastic and Cosmetic Surgery,Xuzhou Centrad Hospital A ffiliated to Southeast University,Jiangsu Province,221009,China)

机构地区：[1]东南大学附属徐州市中心医院

出　　处：《中国医疗美容》2019年第9期19-22,共4页China Medical Cosmetology

摘　　要：目的分析和探讨改良Nagata全耳再造法一期中自体肋软骨耳支架个性化精细雕刻的临床应用价值.方法对29例先天性小耳畸形患者,采用改良Nagata全耳再造法一期耳支架雕刻,术后半年行二期颅耳沟成形术.结果经6个月~5年随访,术后胸廓凹陷无明显畸形,耳再造耳轮廓大多数亚单位均得到满意再现.结论个性化精细软骨支架雕刻和保留皮下蒂的再造耳区皮瓣分离方法是改良Nagata法耳再造成功的关键.Nagata法全耳再造具有并发症少,再造耳解剖结构清晰和手术次数少等优点,是一种适合东方人种的全耳再造方法.Objective To explore the clinical application of a modified Nagata auricular reconstruction in congenital microtia. Methods 29 microtia patients were treated with the modified Nagata methods of auricular reconstruction. The second stage proceeded six months late.Results All patients were followed up 6-60months.Most subunits were reconstructed with satisfactory appearance. Non chest wall deformities were observed at follow-up. Conclusion Individualized framwork fabrication and keep of subcutaneous pedicle were keys to the modified Nagata method of auricular reconstruction. It provides us an clear reconstructive ear shape with less operative compclications and operative times.

关 键 词：先天性小耳畸形 耳再造 耳支架 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]