瘢痕性隐耳的治疗及耳周瘢痕组织瓣的利用  

Treatment of cicatricial cryptotia and utilization of para-auricular scar flap

作　　者：董立维 唐银科 楚菲菲 郝冬月 马显杰 DONG Liwei;TANG Yinke;CHU Feifei;HAO Dongyue;MA Xianjie(Department of Plastic Surgery,Xijing Hospital,Air Force Medical University,Xi’an 710032,China.)

机构地区：[1]空军军医大学第一附属医院整形外科,陕西省西安市710032

出　　处：《组织工程与重建外科》2023年第4期366-370,共5页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：国家自然科学基金面上项目(81971851、82172229)。

摘　　要：目的探讨瘢痕性隐耳畸形的治疗及耳周瘢痕组织瓣的利用。方法2014至2018年,共收治瘢痕性隐耳畸形患者12人,通过松解耳廓上极瘢痕粘连、矫正变形的耳软骨,重塑对耳轮形态;同时,利用瘢痕组织瓣局部转移,重塑颅耳沟形态,并修复耳廓上极、耳廓背侧皮肤缺损。结果经合理松解瘢痕、耳软骨塑形及瘢痕组织瓣修复,所有患者瘢痕性隐耳均得到矫正。术后随访3个月至4年,耳廓形态明显改善,矫正效果稳定。结论瘢痕松解结合耳软骨塑形,以及耳周瘢痕组织瓣的应用,可作为瘢痕性隐耳畸形矫正的可靠方法,在不增加额外损伤的前提下获得良好的临床效果。Objective To explore the treatment of cicatricial cryptotia and utilization of para-auricular scar flap.Methods From 2014 to 2018,12 cases of cicatricial cryptotia were treated.The correction of cicatricial cryptotia deformity was performed by releasing the superior auricular scar adhesion,correcting the deformed auricular cartilage,reshaping the antihelix.A local scar flap was designed and transferred to reconstruct cranioauricular groove,and the skin defects of the superior-and dorsal-part of the auricle were repaired as well.Results All the cicatricial cryptotia were corrected by scar adhesion releasing,deformed auricular cartilage remodeling and the utilization of a para-auricular scar flap.Follow-up ranged from 3 months to 4 years,and all the patients had significant improvement and stabilized appearance of the auricle.Conclusion Scar adhesion releasing,auricular cartilage remodeling and the para-auricular scar tissue repair could be served as the reliable method of deformity correction,and significant improvement could be obtained without additional donor site compromise.

关 键 词：获得性耳畸形 瘢痕 隐耳 

分 类 号：R622[医药卫生—整形外科] R619.6[医药卫生—外科学]