耳郭再造的再认识

Recognition of auricle reconstruction

耳郭再造技术的细节较多且难以把控,往往不易获得稳定效果。经过60余年的发展,该技术有了显著提高,Nagata二次法、部分扩张皮瓣法、完全扩张皮瓣法均得到了广泛应用。而获得再造耳满意效果和高优良率的前提是能够认识和理解每种再造方法,并根据患者的实际条件及每种耳郭再造技术的优势和不足,建立个性化治疗方案,有利于提高耳郭再造的整体效果和优良率。同时,也应对耳郭再造的整形医师进行系统规范培训,从而整体提高我国耳郭再造的技术水平。

The auricle reconstruction technique has many details.It is difficult to control and to achieve stable results.Over 60-year-development,this technique has been improved significantly.The Nagata method,partial expanded skin flap method and complete expanded skin flap method have been widely used.The premise of obtaining satisfactory efficacy and high excellent and good rate of the reconstructed ear is to recognize and understand each method.Considering the merits as well as demerits of such techniques,how to choose the specific treatment should be determined by the patients'real conditions so as to achieve individualized treatment strategy.It is helpful to improve the whole efficacy and excellent and good rate.Meanwhile,plastic surgeons should be trained systematically,so as to improve the overall skill level of auricle reconstruction in China.