目的 总结应用耳后舌状皮瓣联合软骨管对耳轮成形、耳甲腔软骨移植增大耳廓法治疗Ⅰ、Ⅱ型杯状耳畸形的疗效。
方法 2011年3月-2014年3月,应用耳后舌状皮瓣联合软骨管对耳轮成形、耳甲腔软骨移植增大耳廓法治疗9例(10侧)Ⅰ、Ⅱ型杯状耳畸形患者。男8例,女1例;年龄6~20岁,平均10.1岁。双侧耳畸形1例、单侧8例。根据Tanzer(1975)分型标准:Ⅰ型1侧,Ⅱa 型4侧,Ⅱb型5侧。
结果 术后切口均Ⅰ期愈合,无血肿、切口感染、皮瓣坏死等并发症发生。术后患者均获随访,随访时间3~12个月,平均9个月。术后耳廓无下垂,耳轮舒展,对耳轮走形自然,耳甲腔扩大,耳廓接近正常大小,双侧耳大致对称,形态良好,效果满意。
结论 翻转耳后舌状皮瓣联合软骨管对耳轮成形、耳甲腔软骨移植法能有效矫正杯状耳解剖缺陷,是治疗Ⅰ、Ⅱ型杯状耳的有效方法。
Citation:
孙梦茹, 彭维海, 邵英, 瓮洁, 李兵, 张舵. 手术矫正杯状耳畸形的疗效观察. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(2): 262-263. doi: 10.7507/1002-1892.20150055
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王炜. 整形外科学. 杭州:浙江科学技术出版社, 1999:1086.
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Tanzer RC. The constricted (cup and lop) ear. Plast Reconstr Surg, 1975, 55(4):406-415.
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Park C. A new corrective method for the Tanzer's group IIB constricted ear:helical expansion using a free-floating costal cartilage. Plast Reconstr Surg, 2009, 123(4):1209-1219.
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于晓波, 蒋海越, 潘博, 等. 缝卷软骨联合耳廓复合组织移植矫正单侧轻中度杯状耳畸形. 中华耳科学杂志, 2013, 11(4):533-535.
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5. |
刘全, 游晓波, 张家建. 改良法矫正杯状耳畸形的疗效观察. 中国修复重建外科杂志, 2012, 26(12):1482-1485.
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6. |
Pan B, Zhao Y, Zhuang H, et al. Tumbling cartilage flap and free auricular composite tissue transplantation for correcting mild and moderate forms of constricted ear. Arch Facial Plast Surg, 2010, 12(4):241-244.
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- 1. 王炜. 整形外科学. 杭州:浙江科学技术出版社, 1999:1086.
- 2. Tanzer RC. The constricted (cup and lop) ear. Plast Reconstr Surg, 1975, 55(4):406-415.
- 3. Park C. A new corrective method for the Tanzer's group IIB constricted ear:helical expansion using a free-floating costal cartilage. Plast Reconstr Surg, 2009, 123(4):1209-1219.
- 4. 于晓波, 蒋海越, 潘博, 等. 缝卷软骨联合耳廓复合组织移植矫正单侧轻中度杯状耳畸形. 中华耳科学杂志, 2013, 11(4):533-535.
- 5. 刘全, 游晓波, 张家建. 改良法矫正杯状耳畸形的疗效观察. 中国修复重建外科杂志, 2012, 26(12):1482-1485.
- 6. Pan B, Zhao Y, Zhuang H, et al. Tumbling cartilage flap and free auricular composite tissue transplantation for correcting mild and moderate forms of constricted ear. Arch Facial Plast Surg, 2010, 12(4):241-244.