摘要
目的 探讨改良Nagata法耳郭再造术的临床应用效果.方法 对110例先天性小耳畸形耳后皮肤松,且残耳组织多的患者,采用改良Nagata法实施耳郭再造术,手术分3期完成.Ⅰ期：取同侧肋软骨,采用第6、7肋联合部的方法 雕刻耳郭支架,耳后皮下埋植、耳垂换位;Ⅱ期：再造耳竖立;Ⅲ期：再造耳修整、耳甲腔加深.结果 经6个月至3年的随访,术后短期恢复及长期随访效果好,再造耳形态逼真.结论 改良Nagata法耳郭再造术是一种行之有效的耳郭再造术式,可减少肋软骨的切取,降低胸廓畸形的发病率,具有操作简便、治疗周期短的优点,是耳后皮肤松的患者首选的治疗方法.
Objective To explore the clinical application of a modified Nagata auricular reconstruction in congenital microtia. Methods A hundred and ten patients of congenital microtia with postauricular dermatochalasis and more tissue of incomplete ear were treated with the modified Nagata auricular reconstruction. The whole method was divided into 3 procedures, including lobule transposition, reconstructed ear upright and final repair of the reconstructed ear. Results After 6 to 36 months following up, satisfactory results were obtained postoperatively. All reconstructed ears were vivid with clear outline. Non chest wall deformities was observed in the patients during their postoperative life. Conclusion The modified Nagata auricular reconstruction is an effective method for congenital microtia with lower risk of chest wall deformities. The method provides us an improved reconstructive ear shape with less operative risk and complications.
出处
《中国美容整形外科杂志》
CAS
2012年第4期204-207,共4页
Chinese Journal of Aesthetic and Plastic Surgery
