立体不对等S成形术在耳垂缺失的先天性耳垂裂重建中的应用  

Application of stereoscopic unequal S-plasty for reconstuction of the congenital hypoplastic ear lobe cleft associated with soft tissue deficiency

作　　者：刘晓峰 巩梦童 赵莉娜 谢松梅 周同葵 Liu Xiaofeng;Gong Mengtong;Zhao Lina;Xie Songmei;Zhou Tongkui(Department of Pastic and Cosmetic Surgery,Xuzhou Central Hospital,the Affiliated Xuzhou Hospital of Medical School of Southeast University,Xuzhou 221009,China)

机构地区：[1]徐州市中心医院、东南大学医学院附属徐州医院整形美容科,徐州221009

出　　处：《中华耳鼻咽喉头颈外科杂志》2023年第10期1005-1008,共4页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

摘　　要：目的探讨立体不对等S成形术在重度先天性耳垂裂即耳垂缺失重建中的效果。方法回顾性分析2018年8月至2022年8月徐州市中心医院10例单侧重度先天性耳垂裂耳垂缺失患者的临床资料,其中男性6例,女性4例,年龄6~19岁(平均年龄13岁)。10例患者耳垂缺失大小介于0.8 cm×0.5 cm至1.2 cm×1.0 cm之间,均采用立体不对等S成形术修复耳垂缺失。结果10例患者术后皮瓣色泽良好、无坏死,随访3~12个月(平均10个月),再造耳垂形态自然,瘢痕不明显,切口无切迹,与健侧耳垂形状、大小基本相同,形态满意。结论立体不对等S成形术修复耳垂缺失便于操作,效果良好。Objective To explore the ideal way of using the stereoscopic unequal S-plasty in reconstruction of the congenital hypoplastic ear lobe cleft with soft tissue deficiency.Methods Data of 10 patients with the congenital hypoplastic ear lobe cleft associated with soft tissue deficiency who were treated using the stereoscopic unequal S-plasty in the plastic cosmetic surgery of Xuzhou Central Hospital from Aug 2018 to Aug 2022 were retrospectively analyzed.Six patients were male,4 were female.Their ages ranged from 6 years to 19 years old,with a mean age of 13 years.Lobe deficiency size ranged from 0.8 cm×0.5 cm to 1.2 cm×1.0 cm.Results The post-operation flaps had no venous congestion,infection or necrosises.During 3 to 12 months of follow-up,the technique made the shape of the ear lobe smoother.The incisions left inconspicuous scars.The result was satisfactory in terms of matching the contralateral normal ear lobe in shape and symmetry.Doctors and patients were satisfied with the results.Conclusions The stereoscopic unequal S-plasty is an effective way to correct the the severe congenital ear lobe deformity.The good result,simple manipulation and short operation time are the advantages of this method.

关 键 词：耳垂畸形 耳外科手术 外科皮瓣 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]