耳软骨舒展联合矫正复合组织移植耳甲腔型小耳畸形

Auricular Cartilage Unfolding and Free Composite Tissue Transplantation for Concha-type microtia

目的探讨耳软骨放射状切开反折法舒展及对侧耳廓复合组织移植联合分期矫正中度耳甲腔型小耳畸形的疗效。方法自2009年1月至2012年6月,应用一期软骨放射状切开反折法残耳舒展术、二期对侧耳廓复合组织移植术联合矫正中度耳甲腔型小耳畸形患者16例。结果随访3-12月,患侧移植组织成活良好,形态基本满意,供区无明显畸形。结论残耳卷曲软骨放射状切开反折舒展术及复合组织移植术联合分期矫正中度耳甲腔型小耳畸形,方法相对简单,组织损伤较小,可得到较满意的效果。

Objective To report outcomes of treatment of moderate concha-type microtia with radial cartilage incision and convolution with free auricular composite tissue transplantation. Methods From Jan 1, 2009 to Jun 30, 2012, 16 patients with moderate concha-type microtia were treated using combined radial cartilage incision/convolution and free auricular composite tissue transplantation. Results After 3 to 12 months follow-up, most patients remained satisfied with the results. Compli- cations were rare and there was no donor site deformity. Conclusions The reported technique provides a simple and promising treatment for moderate eoncha-type microtia. Furthermore, this technique is easy to implement with predictable good outcomes.