自体耳甲腔软骨游离移植修复耳廓畸形  

Clinical study of autologous concha cartilage transplantation to repair auricle deformities

作　　者：王长琛 张晔 杨美蓉 潘博 蒋海越 Wang Changchen;Zhang Ye;Yang Meirong;Pan Bo;Jiang Haiyue(Seventh Department,Plastic Surgery Hospital,Chinese Academy of Medical Sciences,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》2020年第1期20-24,共5页Chinese Journal of Plastic Surgery

基　　金：首都卫生发展科研专项基金 (1121018008)。

摘　　要：目的探讨应用耳甲腔软骨修复部分亚单位缺损的耳廓畸形的临床效果。方法2017年1月至2018年6月,中国医学科学院整形外科医院整形七科收治15例单侧耳廓畸形患者,男9例,女6例,年龄10~40岁,平均19岁;上1/3外伤性耳廓缺损3例,先天性Stahl耳2例,先天性中度杯状耳5例,先天性中度隐耳5例。均应用自体耳甲腔软骨结合耳后皮瓣或耳后筋膜瓣、皮片移植进行修复。结果本组15例植皮或皮瓣均成活,切口愈合良好,未出现出血、坏死、感染等并发症。耳甲腔软骨切取范围0.5 cm×1.0 cm。术后随访12~18个月,修复耳廓位置、形态、大小与健侧基本一致,外观无臃肿,形态衔接自然,移植软骨无吸收、变形,植皮或皮瓣成活良好,未出现出血、坏死、感染等并发症。患者满意。结论应用耳甲腔软骨修复部分亚单位缺损的耳廓畸形,损伤小,术式简易,术后患耳外形美观,临床效果较好。Objective To investigate the curative effect of auricular deformity repaired by concha cartilage.Methods From January 2017 to June 2018,15 cases with auricular deformities were repaired using the autologous concha cartilage which combined with the retroauricular flap or retroauricular fascia with skin grafting.9 males and 6 females,aged 10-40 with an average age of 19;3 cases of upper 1/3 traumatic auricle defect,2 cases of congenital Stahl's ear,5 cases of congenital cup-shaped ear and 5 cases of congenital cryptotia.Results Total 15 patients were followed up for 12-18 months after the surgery.The area of concha cartilage resection was about 0.5 cm×1.0 cm.The shape and size of the repaired ears were similar to the healthy ear.The transplanted cartilages were not absorbed or deformed.The incision was healed well and retroauricular flap,retroauricular fascia,and skin grafting were preserved well without complications like hemorrhage,necrosis,and infection.Conclusions This method is harmless and simple,which has reliable and satisfactory effects on various auricular deformities.

关 键 词：耳廓 畸形 获得性 隐耳 杯状耳 耳甲腔 软骨 

分 类 号：R76[医药卫生—耳鼻咽喉科]