先天性小耳畸形耳廓再造术98例临床经验总结

目的：总结先天性小耳畸形耳廓再造术的临床经验。方法：回顾性分析98例先天性小耳畸形耳廓再造术经验，对手术方法、术后并发症等进行总结。结果：我科于2009年1月～2012年10月，采用“耳后扩张皮瓣加自体肋软骨立体支架法”行耳廓再造术98例，经过6个月～3年随访，发现再造耳形态逼真，位置、大小与健侧基本一致；皮肤颜色与面部接近；支架无吸收及变形；再造耳廓的立体形态良好、外形自然；颅耳角与对侧相似，耳后瘢痕不明显。结论：采用“耳后扩张皮瓣加自体肋软骨立体支架法”行耳廓再造术，并发症少、外形逼真，是理想的先天性小耳畸形再造方法，可在临床上推广应用。

Clinical experience of ear reconstruction for 98 congenital microtia

Objective To summary the clinical experience of ear reconstruction surgery for congenital microtia. Methods Retrospective of 98 Ear reconstruction surgeries for congeniatlal microtia, include surgery method and postoperative complications. Results From January of 2009 to October of 2012, our department have applied 98 ear reconstruction sugeries, with method of ＂Soft tissue skin expander together with autogenous rib cartilage framework＂, Which were followed up for 6 mothes to 3 years. The Reconstruced ear have the same size,location with the other one; skin color close with the face; the fromework have no deformities, the ear have good natrual shape and the same cranioauricular with the other one, and the scar are illegibility. Conclusion Soft tissue skin expander together with autogenous rib cartilage framework could be the best way to reconstructed congenital microtia, and it should be popularize its clinical application.