瘢痕性隐耳的手术修复

目的探讨瘢痕性隐耳的定义及其伴有部分或完全耳垂缺损的手术修复效果。方法采用局部皮瓣加全厚皮片分区移植法，分别完成耳廓与颅侧壁及乳突部粘连松解、颅耳角形成、耳轮重建、耳垂再造或重建手术，对26例33只瘢痕性隐耳进行矫正。结果所有皮瓣均100％成活，移植皮片95％以上存活；耳廓外形尚较满意，主要结构可辨，颅耳角基本恢复。术后随访3个月至1年．结果表明，耳廓外形保持良好，患者满意。结论针对瘢痕性隐耳的畸形特征，采取相应的手术方法，是矫正瘢痕性隐耳的有效手段。

Plastic and reconstructive surgery of cicateicial cryptotia

Objective To probe the definition of cicateicial cryptotia and its plastic and recon- structive surgery. Methods Local skin flaps combined with full-thickness skin graft by zonation graft ing technique were used to treat twenty-six patients with thirty-three cicateicial cryptotia. A cicateicial adhesion between auricle and cranial wall and mastoidea was removed, cranioaural angle was re- formed, and helix and auricular lobule were reconstructed. Results All skin flaps survived, and the survival rate of skin grafts reached over 95 %. The appearance of auricle was very good, its major constructions might be noted, and cranioaural angle nearly returned to normal. The follow-up results from three months to one year post-operation showed that the appearance of auricle kept well, and the patients felt satisfactory. Conclusions In view of deformity characteristics of cicateicial cryptotia, it might be an effective approach to treat cicateicial cryptotia to take a seris of appropriate surgical proce- dures.