摘要
目的:分析和探讨Nagata全耳再造法的临床应用价值。方法:对117例(120耳)先天性小耳畸形患者,采用Nagata全耳再造法,实施全耳再造手术。结果:经6个月~5年随访,平均随访1年,120只再造耳轮廓均得到满意再现;其中,早期5例患者在Ⅰ期耳再造术后位于对耳屏处的皮肤发生坏死,通过局部皮瓣的转移成功覆盖;1例患者在Ⅱ期手术后再造耳的背侧发生移植皮片的部分坏死和软骨外露,经局部皮瓣的转移后成功覆盖。结论:精致的软骨支架雕刻和保留皮下蒂的再造耳区皮瓣分离方法是Nagata法耳再造成功的关键。Nagata法全耳再造具有并发症少,再造耳解剖结构清晰和手术次数少等优点,是一种适合东方人种的全耳再造方法。
Objective: To analyze the clinical efficacy of Nagata' s techniques in auricular reconstruction for microtia. Methods: One hundred and senteen patients (120 ears ) with congenital microtia underwent auricular reconstruction mainly by Nagata's techniques. Results: All patients were followed up for 6 m-5 y (average 1 y) after surgery. The anatomic structure and appearance were satisfactory in all 120 reconstructed ears. Conclusions: Nagata's technique for auricular reconstruction is suitable to Asian patients with few complications, few stages and excellent reconstructed structure.
出处
《浙江大学学报(医学版)》
CAS
CSCD
2007年第6期604-609,共6页
Journal of Zhejiang University(Medical Sciences)
基金
上海市科委科研基金重点项目(014119001)
上海市曙光计划项目(03SG39)
关键词
耳/畸形
外耳/外科学
先天性小耳畸形
耳廓再造
肋软骨
Nagata法
Ear/abnorms
Ear,external/surg
Congenital microtia
Auricle reconstruction
Autogenous costal cartilage
Nagata techniques