外伤性半耳缺损的修复

Repairing the absence of the traumatic external ear

目的 :针对外耳为头颅两侧对称突出的器官的特征 ,选择定位、支撑及表面覆盖皮肤 ,使再造外耳具有对称 ,逼真的特点。方法 :用耳轮最前点 ,耳轮最高点 ,耳垂最低点的三点定位法 ,用自体肋软骨条作支架 ,用耳后乳突区皮肤为覆盖二期修复外伤性半耳缺损。结果 :14例外伤性半耳缺损采用以上方法修复 ,外形逼真 ,随访一年 ,效果满意。结论 :以上方法修复外伤性半耳缺损行之有效 ,值得推广。

Objective: To make the reestablished external ear lifelike. Methods:In the stageⅡ, located by the most front site and the top site of the helix and the lowest site of the lobule, the 4 reestablished external ears were made from the autogenic rib cartilages as the auricular frameworks and covered by the flaps from the area of mastoid process. Results: The appearance of the 4 ears was all satisfactory 1 year after the operations. Conclusion: The above methods are the ideal choice for repairing the absence of the traumatic external ear.