蝶形耳廓合并杯状耳畸形的治疗体会  

The treatment of butterfly-shape ear combine with cup ear

作　　者：刘嘉锋 孙家明[1] 李小丹 Liu Jiafeng;Sun Jiaming;Li Xiaodan(Department of Plastic and Reconstruction,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院整形外科,430022

出　　处：《中华整形外科杂志》2021年第6期666-668,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨一种同期矫正蝶形耳廓合并杯状耳畸形的手术方法的效果。方法2012年1月至2019年12月,华中科技大学同济医学院附属协和医院整形外科收治蝶形耳廓合并杯状耳畸形患者13例,男6例,女7例,年龄6~15岁,平均9.2岁。采用软骨瓣折叠矫正杯状耳畸形,同时采用耳垂瓣及耳廓复合组织瓣相向推行及耳甲腔软骨片游离移植,修复蝶形耳廓畸形。术后随访6个月,测量耳廓长度、宽度,并观察矫正效果。结果本组13例耳廓畸形均得到明显改善,无耳廓上部再次悬垂病例,1例患者出现耳后切口轻度瘢痕增生,经药物外涂及耳夹夹持6个月后瘢痕软化变平。所有单侧畸形患者中,患侧容貌耳长均小于健侧,有1例患者患侧容貌耳长与健侧容貌耳长的差值达0.7 cm,其余患者均小于0.5 cm。所有患者患侧容貌耳宽与健侧容貌耳宽的差值均小于0.3 cm。结论采用软骨折叠及耳垂瓣、耳廓复合组织瓣结合游离耳甲腔软骨片可同时矫正蝶形耳廓及杯状耳畸形,术后效果满意。Objective To investigate the surgical regimen of butterfly-shape ear combine with cup ear and restore the appearance of auricle.Methods From January 2012 to December 2019,13 patients with butterfly-shape ear combined with cup ear deformity were treated in the Department of Plastic Surgery,Union Hospital,Huazhong University of Science and Technology.There were 6 males and 7 females,with an average age of 9.2 years(ranged from 6 to 15 years old).All patients were treated by folding cartilaginous flap to correct cup ear deformity,pushing forward the lobe flap and auricle composite tissue flap to repair the cleft on the ear.A piece of conchal cartilage was harvested and sutured to the outer edge of the cleft as the internal support for the cleft.The physiognomic ear length and breadth of two ears in the patients were measured immediately post operation.The results were evaluated after 6 months follow-up.Results The appearance of all of the ears was significantly improved,no upper auricle hanging.A slight hypertrophic scar was found on the surface of one ear.The scar resolved after 6 months of ointment application and prosthesis.In all patients with unilateral ear deformity,the reconstructed ear length on the affected side was smaller than that on the contralateral side.In one patient,the difference between two sides ranged from 0.5 cm to 0.7 cm.For other patients,the difference between two sides was less than 0.5 cm.The difference between the reconstructed ear breadth of the affected ear and that of the reverse ear was less than 0.3 cm.Conclusions This method can be applied to correct both the butterfly-shape ear deformity and cup ear malformation.The result was satisfactory.

关 键 词：耳廓 蝶形耳廓 杯状耳 耳廓复合组织瓣 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]