摘要
目的探讨先天性小耳畸形耳廓再造术后的多样化修整方法及疗效。方法对已完成扩张法耳廓再造术的先天性小耳畸形患者,一方面利用残耳组织对再造耳廓进行耳屏、耳轮脚、耳甲艇的重建,耳甲腔的加深以及耳廓支架的抬高,另一方面对再造耳廓支架自身进行调整,包括位置及方向的调节,支架修薄及毛囊去除等。结果 2012年8月至2013年7月,共对343例先天性小耳畸形患者的再造耳廓进行多样化的修整。随访96例患者1—9个月,可见再造耳廓亚结构单位更完善,细节更逼真,患者满意度高。结论再造耳廓的修整方法形式多样,操作简单,可根据患者再造耳廓的实际情况综合利用并重组不同方法对再造耳廓进行细节修整,使其与健侧耳廓的对称性更高,值得临床推广。
Objective To study the effects of additional adjustments after auricle reconstruction in microtia. Methods Adjustments were applied to reconstructed ears, including reconstruction of tragus, crus of helix, cymba conchae, deepening of eonchal cavity, and elevation the auricular framework. Auricular frameworks adjustment included correction of position and direction. Other adjustment included removal of hair follicles. Results From August 2012 to July 2013, 343 patients with re- constructed ears received above mentioned adjustments and 96 patients were followed for 1 to 9 months. Reconstructed auri- cles retained improved esthetic effects and patients were satisfied. Fine tuning of reconstructed ears may involve multiple as- pects which can be easily administered. Methods can be selected based the actual condition of reconstructed ears for im- proved symmetry and cosmetic effects.
出处
《中华耳科学杂志》
CSCD
北大核心
2013年第4期511-514,共4页
Chinese Journal of Otology
基金
十二五国家科技支撑计划项目(2012BAII2B00)
2010卫生部临床学科重点项目
首都卫生发展科研项目(2011-4004-01)
北京市自然基金(7132176)
关键词
小耳畸形
扩张法耳廓再造术
残耳组织
耳廓支架
Microtia
auricle reconstruction with expanding
remnant ear
auricular framework
