经乳房下皱襞切口切取肋软骨行耳郭再造术

Harvest of rib cartilage for ear reconstruction through the incision in the submammary fold

目的探讨经乳房下皱襞切口切取肋软骨进行耳郭再造术的可行性。方法对于临床上行耳再造术的20例女性患者，应用日本学者Nagata方法实施耳郭再造术。将切取肋软骨的切口设计在乳房下皱襞，切取第6—9肋软骨。随访患者6～12个月，观察切口愈合及耳再造效果。结果经乳房下皱襞切口切取的肋软骨均完整，切口愈合良好，再造耳形态满意。结论经乳房下皱襞切口切取肋软骨，其切口隐蔽，方法可行。

Objective To explore the feasibility of ear reconstruction with rib cartilage harvested through the submammary fold incision. Methods Twenty female patients received ear reconstruction by the Nagata method. The surgical incision was designed in the submammary fold for all 20 patients. The 6th to 9th ribs were harvested through the incision mentioned above. The donor site wound healing and the reconstructed ear were followed up for 6 to 12 months. Results After harvestng rib cartilage through the submammary fold incision, all incisions healed well. The appearance of the reconstructed ear was satisfactory. Conclusion The submammary fold incision for rib cartilage harvest was concealed and aesthetic outcome was good. The method was feasible for ear reconstruction.