杯状耳的分型和治疗

Classification and treatment of constricted ear

目的 :用简单且有针对性的方法治疗不同类别杯状耳。方法 :总结 10 6例杯状耳的治疗经验 ,我们改进Tanzer的分型 ,对不同类型的杯状耳采取针对性之治疗。即 :A型 :局部改形或加钢丝悬吊法。B型 :对侧耳廓复合组织瓣移植法。C型 :自体肋软骨移植行全耳再造术。结果 :10 6例患者经对应的分类治疗后 ,耳轮伸展 ,耳舟显露 ,双耳基本对称 ,取得较满意结果。结论 :对杯状耳传统分型法进行改进 ,并采取针对性治疗 。

Objective: Using simple and specific methods to treat different kinds of constricted ear. Methods:after summaring the treatment experience of 106 cases of constricted ear, we reformed the classification of Tanzer's and used specific treatment for different kinds of constricted ear .That is:Type A: local transposition plus steel wire elevation. Type B: Free composite flap transplantation from the other ear. Type C: Total ear reconstruction with autogenous rib cartilage.Results:After reformed classifiction and specific treatment, the helix is fully extened and the scapha is prominent..Bilateral ear are almost symmetrical.the results are satisfactory. Conclution:Reformed the classification of Tanzer's for constricted ear and adopted specific treatment for them. The results of surgery is reliable.