3种术式矫正轻度先天性小耳畸形的临床分析

目的：观察并比较3种术式矫正轻度先天性小耳畸形的临床疗效。方法：1?135例轻度先天性小耳畸形患者根据其临床特征分别选择软骨管成形或加钢丝悬吊术(198例) 、耳廓复合组织游离移植术（72例）和组织扩张器结合自体肋软骨移植外耳再造术（865例）3种术式。通过对570例患者进行长期随访，比较不同术式的术后临床效果和优缺点。结果：长期随访观察表明，570例患者术后双耳位置、形态、大小基本对称，少有复发现象和严重并发症。3种术式修复Ⅰ度先天性小耳畸形的随访优良率,差异不具有显著性意义。结论：根据患者残耳临床特征选择以上3种不同术式修复轻度先天性小耳畸形，均可获得满意的临床治疗效果。

Treatment for moderate congenitial microtia by three methods

To compare three kinds of operations on moderate congenitial microtia. Methods: According to the feature of ear defection, 1?135 cases of moderate congenitial microtia were treated by different methods, including cartilage tube plasty steel wire elevation in 198 cases, free composite ear transplantation from the other ear in 72 cases and partial ear reconstruction with soft tissue skin expander together with autogenous rib cartilage framework in 865 cases. Evaluation standards, advantages and disadvantages of 3 methods were determined from the long time follow up results in 570 out of 1?135 cases. Results: Long time follow up showed that in 570 cases, the cured ears were coincidence with the normal side on location, form and dimension without relapse and serious complications and no obvious difference was found out of the results of the 3 methods. Conclusion: One of the 3 methods can be chosen to satisfactorily correct moderate congenitial microtia according to the feature of ear defection.