儿童先天性耳屏附耳型耳郭畸形的临床治疗分析

Clinical Treatment Analysis of Congenital Auricular Screen Attachment Type Auricular Malformation in Children

目的探讨儿童先天性耳屏附耳型耳郭畸形的临床治疗方案及术后效果;方法对泉州市妇幼保健院2018年4月-2023年9月收治的共61例先天性耳屏附耳型耳郭畸形患儿进行回顾性研究,根据先天性耳屏附耳型耳郭畸形分度选择不同治疗方案,随访患儿术后耳屏形态及瘢痕情况。结果术后随访8~73个月不等,平均随访(35.78±18.13)个月,术后患儿切口均I期愈合,无切口感染、皮瓣坏死、软骨外露等并发症,远期随访61例患儿,其中手术效果优者57例,手术效果良好者3例,手术效果一般者1例,无效果差患者,优良率98.36%。结论根据先天性耳屏附耳型耳郭畸形分度的不同类型采取相对应的手术治疗方案,可使患儿耳屏形态自然、美观,切口瘢痕隐蔽,患儿术后整体外观良好,有利于患儿心理健康的正常发展,值得临床推广。

Objective To investigate the clinical treatment options and postoperative outcomes of congenital auricular screen attachment auricular malformation in children;Methods A total of 61 cases of congenital auricular screen attachment auricular malformation in children admitted to Quanzhou Maternal and Child Health Hospital April 2018-September 2023 were retrospectively investigated,and different treatment options were selected according to the grading of congenital auricular screen attachment auricular malformation,and the postoperative morphology of the auricular screen and scarring in the children were followed up.Results Postoperative follow-up ranged from 8 months to 73 months,with an average follow-up of(35.78±18.13)months.Postoperative children's incisions all healed at stage I,with no complications such as incision infection,flflap necrosis,cartilage exposure,etc.In the long-term follow-up,61 children were followed up,of which 57 had excellent surgical results,3 had good surgical results,1 had fair surgical results,and there were no cases with poor results,with an excellent rate of 98.36%.Conclusion According to the different types of congenital auricular anomalies of the auricular screen,the corresponding surgical treatment plan can make the children's auricular screen form natural and beautiful,the incision scar is hidden,and the overall appearance of the children is good,which is conducive to the normal development of the children's mental health,and it is worth promoting in the clinic.