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先天性小耳畸形的皮肤软组织扩张器法外耳再造术
引用本文:庄洪兴,蒋海越,潘博,杨庆华,何乐人,赵延勇,韩娟.先天性小耳畸形的皮肤软组织扩张器法外耳再造术[J].中华整形外科杂志,2006,22(4):286-289.
作者姓名:庄洪兴  蒋海越  潘博  杨庆华  何乐人  赵延勇  韩娟
作者单位:100041,北京,中国协和医科大学整形外科医院外耳整形再造中心
基金项目:2004年度卫生部临床学科重点项目(No.2004468)
摘    要:目的探讨先天性小耳畸形的手术修复方法。方法1992年至2005年采用皮肤软组织扩张器结合自体肋软骨支架移植的方法进行外耳再造共3248例。结果经1至13年随访观察,再造耳廓皮瓣色泽红润、柔软、感觉功能无明显异常;移植耳廓软骨支架无软化、吸收、变形;再造耳廓位置、形态、大小和对侧基本一致。结论组织扩张器结合自体肋软骨支架移植的外耳再造方法,疗效满意、并发症少,是先天性小耳畸形理想的手术治疗方法。

关 键 词:先天性小耳畸形  皮肤软组织扩张器  自体肋软骨支架  外耳再造
收稿时间:2005-12-05
修稿时间:2005-12-05

Ear reconstruction using soft tissue expander in the treatment of congenital microtia
ZHUANG Hong-xing,JIANG Hai-yue,PAN Bo,YANG Qing-hua,HE Le-ren,ZHAO Yan-yong,HAN Juan.Ear reconstruction using soft tissue expander in the treatment of congenital microtia[J].Chinese Journal of Plastic Surgery,2006,22(4):286-289.
Authors:ZHUANG Hong-xing  JIANG Hai-yue  PAN Bo  YANG Qing-hua  HE Le-ren  ZHAO Yan-yong  HAN Juan
Institution:Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing 100041, China
Abstract:Objective To explore surgical procedure of congenital microtia. Methods Ear reconstruction was made using soft tissue skin expander and autogenous rib cartilage framework. Results Long time follow-up showed that the flap of reconstructed ear was ruddy, soft, with normal sensory function ; cartilage framework had no degeneration, absorption and deformation. In addition, the reconstructed ears were coincidence with the normal side on location, form and dimension. Conclusions It was a good method for congenital microtia to use soft tissue skin expander together with autogenous rib cartilage framework at present time.
Keywords:Congenital microtia  Soft tissue expander  Autogenous cartilage framework  Ear reconstruction
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