先天性小耳畸形应用自体肋软骨二期法全耳再造诊疗专家共识  

Expert consensus on diagnosis and treatment of two-staged microtia reconstruction with autologous rib cartilage

作　　者：许志成[1] 张如鸿[1] 章庆国 王凯 张群[1] 董立维 许枫[1] 李大涛[1] 李意源 陈霞[1] XU Zhicheng;ZHANG Ruhong;ZHANG Qingguo;WANG Kai;ZHANG Qun;DONG Liwei;XU Feng;LI Datao;LI Yiyuan;CHEN Xia(Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China;Department of Otorhinolaryngology,Shanghai Jing'an District Shibei Hospital,Shanghai 200040,China;Department of Plastic Surgery,The First Affiliated Hospital,Air Force Medical University,Xi’an 710032,China)

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海市200011 [2]中国医学科学院整形外科医院,北京市100144 [3]上海市静安区市北医院耳鼻喉科,上海市200040 [4]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》2025年第1期1-9,共9页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：上海市科学技术委员会临床医学研究中心项目(22MC1940300)。

摘　　要：先天性小耳畸形是面部常见畸形,也是外耳先天畸形中表现最为严重的一种生理缺陷,应用自体肋软骨二期法全耳再造术是目前治疗先天性小耳畸形的国际主流术式。本共识经过全国专家组反复讨论,同时借鉴和参考国内外近年来的研究成果,供全国整形外科和耳鼻喉科从事耳再造整复专业医师在临床工作中参考使用。本共识主要内容包括先天性小耳畸形发病机制、术前评估和准备、手术要点、术后护理和并发症处理策略等。Microtia is a common facial deformity and the most severe physiological defect among congenital ear deformities.The application of autologous rib cartilage in two⁃staged auricular reconstruction is currently the international mainstream surgical approach for microtia reconstruction.This consensus has been thoroughly discussed by a national expert group while incorporating recent research findings from both domestic and international sources.It serves as a reference for surgeons specializing in ear reconstruction within the fields of plastic surgery and otolaryngology across the country.The main topics of this consensus included the pathogenesis,preoperative assessment and preparation,key points of operation,postoperative nursing and strategies for managing complications of microtia.

关 键 词：小耳畸形 全耳再造 专家共识 

分 类 号：R622[医药卫生—整形外科]