摘要
正常耳廓外形在人体外露器官中最复杂和精细，先天的或者后天的原因造成的耳廓缺损都需修复，耳廓的修复在整形外科中是具有挑战性的难题，既有耳廓的外形、又有覆盖耳廓支架的皮瓣和筋膜瓣的血运保障以免支架外露。自50年代中期美国Tanzer医师做经典的外耳再造Ⅵ期手术以来，经过改进减少到Ⅲ、Ⅳ期。
Backgroud From 1998 to 2004 our department have operated 10 cases. Of both - ear damaged patients first skin tissue expansion and later reconstruction of the ear. After skin expansion, the skin and fascial flaps were raised, the carved rib cartilage framework was inserted between them. After operation, the distal part of skin flap was necrosis and .the cartilage framework was exposed. The wound healed through appropriate measure. Both - ear damaged the other ear was reconstructed without any complication since we were careful in handling the skin and fascia1 flaps. Discussion Skin expansion supplies enough skin flap to wrapy the cartilage framework and displays the contour of the ear. The effect of surgery is satisfactory.
