不同耳再造术式在复杂耳缺损病例中的运用

目的 根据耳郭缺损患者乳突区组织生理特性的差异,运用不同的耳再造术式完成耳郭再造,探讨个性化耳郭再造的可行性。方法 2012年6月至2016年10月,针对乳突区组织生理特性的不同,分别运用耳后皮肤扩张法完成耳郭再造6例,耳后筋膜皮瓣扩张法完成耳郭再造1例,Nagata二期法完成耳郭再造4例,所有患者均以自体肋软骨作为耳支架制作材料。结果 术后随访10～24个月(平均15个月)。11例患者及家属对再造耳郭形态满意。全部患者均无胸廓畸形及耳支架软骨局部外露、感染等并发症。结论 根据乳突区组织生理特性的差别,个性化选择不同的手术方法,有利于获得理想的再造耳外形。

Application of Different Auricle Reconstruction Methods Used in Complex Auricle Defect

Objective According to the difference physiological characteristics of mastoid tissue in patients with auricle defect,different auricle reconstruction methods were used to complete ear reconstruction,and to explore the feasibility of individualized auricle reconstruction.Methods From June 2012 to October 2016,according to the different physiological characteristics of mastoid tissue,6 cases of auricle reconstruction were performed by retroauricular skin expansion,1 case by retroauricular fasciocutaneous flap expansion,and 4 cases by Nagata II method.Autogenous costal cartilage was used as ear scaffold in all patients.No complications such as chest deformity,exposure and infection of ear scaffold cartilage were observed.Results The follow-up period ranged from 10 months to 2 years,with an average of 15 months.11 patients and their families were satisfied with the shape of the reconstructed auricle.Conclusion According to the difference of physiological characteristics of mastoid tissue,individualized selection of different surgical methods is conducive to the ideal effect of ear reconstruction.