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颞浅筋膜瓣包裹高密度聚乙烯-肋软骨复合支架一期耳廓再造术
引用本文:王圣林,周君芳,吴建明,赵启明,夏东胜,陆新.颞浅筋膜瓣包裹高密度聚乙烯-肋软骨复合支架一期耳廓再造术[J].中华医学美学美容杂志,2004,10(6):336-338.
作者姓名:王圣林  周君芳  吴建明  赵启明  夏东胜  陆新
作者单位:1. 310013,杭州,解放军117医院整形外科
2. 杭州天马美容整形门诊部
3. 上海长征医院整形外科
摘    要:目的探寻耳廓再造的良好手术方法。方法将高密度聚乙烯耳基架与肋软骨外耳轮形成复合支架,支架采用颞浅筋膜瓣包裹,颞浅筋膜瓣的表面采用邻近皮瓣和皮片覆盖,完成耳廓再造。结果自2000年1月至2003年8月利用该方法对8例先天性小耳进行耳廓再造术效果良好。结论通过该方法行耳廓再造,具备良好的外形和一定的弹性,外观逼真,手感良好。

关 键 词:耳廓再造术  小耳畸形  支架  高密度聚乙烯  肋软骨  颞浅筋膜瓣
修稿时间:2003年9月29日

One stage otoplasty with compound framework of Medpor and homogenous rib cartilage
WANG Sheng-lin,ZHOU Jun-fang,WU Jian-ming,et al..One stage otoplasty with compound framework of Medpor and homogenous rib cartilage[J].Chinese Journal of Medical Aesthetics and Cosmetology,2004,10(6):336-338.
Authors:WANG Sheng-lin  ZHOU Jun-fang  WU Jian-ming  
Institution:WANG Sheng-lin*,ZHOU Jun-fang,WU Jian-ming,et al. *Department of Plastic and Aesthetic Surgery,117 Hospital of PLA,Hangzhou 310013,China
Abstract:Objective To find a better method to reconstruct total ear in one stage. Methods In the procedure, a compound framework was formed, in which Medpor acted as ear framework and homogenous rib cartilage as helix-framework after being sculptured, then they were vamped together. The formed framework was covered with adjacent skin flap and homogenous skin graft after it had been covered with superficial temporal fascia flap. Results From January 2001 to Augest 2003, 8 cases of congenital microtia or antotia were treated in this way, and all of them obtained satisfactory appearance in auricle. Conclusion The reconstructed ear has a delicate structure and good appearance, and looks and feels as a real one by this new procedure.
Keywords:Otoplasty  Microtia  Framework  Medpor  Rib cartilage  Superior temporal fascia flap
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