摘要
目的探讨修复杯状耳畸形的方法和效果.方法轻中度杯状耳畸形应用V-Y推进皮瓣及耳后皮瓣转移法修复,重度杯状耳畸形采用耳甲复合组织瓣上旋法及耳后皮瓣转移修复.自2000年3月至2004年12月,共修复16例23只杯状耳畸形,男11例,女5例,年龄8～36岁,其中轻中度杯状耳12例(5例为双侧),重度杯状耳4例(2例双侧).16例中13例遗有耳廓或耳甲腔皮肤缺损,采用耳后皮瓣修复,其中皮瓣供区原位缝合7例,皮片移植修复6例.结果皮瓣全部成活,切口愈合良好,术后随访6个月至2年,耳廓和耳甲腔的外形改善明显,外耳形态满意,单侧畸形耳与健侧基本对称.结论采用V-Y推进法及耳甲复合组织瓣上旋法分别是修复轻中度及重度杯状耳畸形的较好方法,耳后皮瓣的合理应用及外耳的固定塑形也是不可忽视的手术成功的关键.
Objective To study the method and efficacy of repairing cup ear deformity. Methods The mild cup ears were corrected by V-Y advanced flaps and retroauricular flaps （seventeen ears）, and the severe cup ears corrected by rotate composite flaps of concha auriculae and retroauricular flaps （six ears）. The donor defects were sutured in place in seven cases and repaired by skin grafting in six cases. From March 2000 to November 2005, sixteen cases （twenty-three ears）, eleven patients were male and five female, with age range from eight to thirty-six years, were treated by the procedures mentioned above. Among them, twelve cases were mild cupping （five bilateral ears） and four cases severe cupping （two bilateral ears）. Results All flaps survived with primary healing after operation. Follow-up from six months to two years showed that all the patients had achieved satisfactory appearance of external ear and obvious improvement of contour of auricle and cavity of concha . Conclusion V-Y advanced flap and rotate composite flap are effective methods for the correction of cup ear deformity. The rational using of retroauricular flap and fixation of contour of auricle and cavity of concha are also the key points for the operation.
出处
《中华医学美学美容杂志》
2005年第5期260-262,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
