手术治疗外耳道闭锁或狭窄15例

目的 探讨手术治疗外耳道闭锁或狭窄的更好方法。方法 回顾性分析15例接受外耳道成形术的外耳道闭锁或狭窄患者的病历资料，术后随访6个月～2年。结果 15耳中术后出现再闭锁1耳，其余患者外耳道均获得扩大。结论 外耳道闭锁或狭窄可根据先天性或后天性，伴或不伴中耳乳突病变，采用不同的手术方式。手术关键在于成形外耳道和外耳道口，移植皮片覆盖缺损区并成活。

Surgical treatment of aural atresia/stenosis in 15 cases

Objective To investigate suitable surgical treatment for aural atresia or stenosis. Method 15 cases of aural atresia or stenosis who received canal plasty were reviewed. Postoperative follow-up ranged from one half to two years. Result In 14 ears, the external auditory canal was enlarged. However, the atresia occured again in the other 1 ear. Conclusion Different surgical procedures can be applied in aural atresia or stenosis depending on the factors, such as congenital or acquired, and with or without inflammation of tympanic-mastoid area. The keys of the operation are canal-plasty and obtainment of a wide external auditory opening. The defect area must be covered by a skin graft.