| 蝶形耳廓畸形的分型与手术修复 |
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| 引用本文： | 蒋海越,潘博,国冬军,郭万厚,庄洪兴.蝶形耳廓畸形的分型与手术修复[J].中华整形外科杂志,2006,22(5):356-358. |
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| 作者姓名： | 蒋海越 潘博 国冬军 郭万厚 庄洪兴 |
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| 作者单位： | 100041,北京,中国协和医科大学中国医学科学院整形外科医院外耳整形再造中心 |
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| 摘 要： | 目的对具有耳廓中、下1/3发育不良和先天性招风耳、贝壳耳综合特征的蝶形耳廓畸形进行分型及手术修复。方法Ⅰ型蝶形耳廓利用软骨翻转折叠缝合法修复;Ⅱ型蝶形耳廓采用局部皮瓣转移法修复;Ⅲ型蝶形耳廓运用软组织扩张器结合自体肋软骨支架法修复。结果2001年10月至2005年3月,应用软骨翻转折叠缝合法修复Ⅰ型蝶形耳廓4例,完全纠正了耳颅角过大,重建了耳舟和对耳轮;利用局部皮瓣法修复Ⅱ型蝶形耳廓6例,术后耳廓较对侧略小,形态满意;采用软组织扩张器结合自体肋软骨支架法修复Ⅲ型蝶形耳廓9例,术后移植软骨、皮片成活良好,耳廓和对侧大小、形态一致。结论根据蝶形耳廓畸形的严重程度将其分为Ⅰ、Ⅱ、Ⅲ型,并分别运用软骨翻转折叠缝合法、局部皮瓣转移法、软组织扩张器结合自体肋软骨支架法修复,手术效果好,适于推广。
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| 关 键 词： | 蝶形耳廓 招风耳 贝壳耳 |
| 收稿时间： | 2005-07-11 |
| 修稿时间： | 2005年7月11日 |
Calssification and repairment of "butterfly ear" deformity |
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| JIANG Hai-yue,PAN Bo,GUO Dong-jun,GUO Wan-hou,ZHUANG Hong-xing.Calssification and repairment of "butterfly ear" deformity[J].Chinese Journal of Plastic Surgery,2006,22(5):356-358. |
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| Authors: | JIANG Hai-yue PAN Bo GUO Dong-jun GUO Wan-hou ZHUANG Hong-xing |
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| Institution: | Plastic Surgery Hospital, Chinese Academy of Medical Science ( CAMC;PUMC |
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| Abstract: | OBJECTIVE: To classify and repair "Butterfly Ear" deformity which presents characters of dysplasia of inferior auricle of ear and congenital bat ear. METHOD: The repairment procedures include: type I: auricular cartilage flap inversion folding technique. type II: local ear skin flap. type III: soft tissue expander autogenous, rib cartilage framework. RESULTS: The method was used in 19 cases from October 2001 to March 2005. Postoperative follow-up showed satisfactory results in all cases. CONCLUSION: According to "Butterfly Ear" deformity classification, different technique could be applied. |
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| Keywords: | Butterfly ear deformity Bat ear Cockle shell ear |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
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