先天性小耳畸形及外耳道闭锁的手术治疗

Combined reconstruction of congenital auricular microtia and atresia

目的探讨先天性小耳畸形及外耳道闭锁的治疗方法。方法回顾性分析1994年1月～2004年1月间在我科接受手术治疗、随访资料完整的先天性小耳畸形及外耳道闭锁患者11例（13耳）。结果全部病例均有小耳畸形、外耳道闭锁及鼓室畸形。同期行耳廓、外耳道及鼓室成形术，随访1～8年后，耳廓外观满意，外耳道宽敞，并发症少。结论对严格选择的病例同步行耳廓再造及听力重建，可荻满意效果。

Objective To investigate the clinical character and treatment of congenital aural microtia and atresia. Methods Clinical data of 11 patients （13 ears） from 1994 to 2004 with congenital auricular microtia and atresia were analyzed retrospectively. Postoperative follow-up period ranged from 1 to 8 years. Results Auricular microtia, atresia and ossicular chain malformations were presented in all cases. They were treated with pinnaplasty, meatoplasty and tympanoplasty. Conclusion Patients with congenital auricular microtia and atresia can be treated with simultaneous total ear reconstruction and hearing rehabilitation.