摘要
目的 探讨先天性中外耳畸形患者耳廓再造及外耳道成形术的临床疗效。方法 根据耳廓缺损的范围、外形、耳道及听功能要求 ,采用肋软骨支架分期耳廓再造 ,同时行外耳道成形术修复先天性小耳畸形。结果 再造耳 2 1耳全部成活 ,外形良好 ,外耳道通畅。其中 11例行听力重建 ,术后 8例听力提高 10～ 2 5 d B。结论 耳廓再造术中耳廓软骨支架的立体雕刻及残耳组织的充分利用是塑造逼真耳廓的关键 ;外耳道重建可增加耳廓的美观 。
Objective To investigate the clinical effect of auricle reconstruction and external auditory meatus shaping on congenital middle and external ear malformation.Methods According to the lack range of auricle,shape,external acoustic meatus and audition function request,ribcartilage kickstand was adopted to reforge auricle by stages and external acoustic meatus figuration was performed to renovate congenital microtia malformation.Results All of reforge auricles survived and their shape were vivid.21 cases sufferer were satisfactory,20 cases external acoustic meatus were smooth.11 cases did audition regenerate,audition of 8 cases after operation increased 10～25dB.Conclusion The key to the technique is how the dimemsional cartilage framework be sculptured for a new auricle.Utilize of microremnant and ear tissue improve the contour of reconstructive auricle.Regenerated external acoustic meatus not only increases auricle beauty but also improves part of sufferer audition.
出处
《山东医药》
CAS
北大核心
2004年第5期9-10,共2页
Shandong Medical Journal
