儿童Medpor支架植入全耳再造改良成形术

目的：应用Medpor支架植入一期行儿童全耳再造术,以期获得更好耳廓的形态手术方式.方法：内含颞浅动脉的颞浅筋膜覆盖Medpor耳支架材料,耳背用残耳皮瓣覆盖,耳正面用全厚皮片覆盖,残耳下1/3修整为耳垂一期再造全耳.结果：2002年～2004年以该方法共完成11例全耳再造术,11例再造耳全部存活,与前期手术相比,再造耳廓结构清晰,形态更加逼真,耳颅角及耳轴线良好.结论：本改良手术能够一期完成全耳再造,再造耳形态逼真,易于存活,是一种理想的儿童全耳再造的手术方式.

A modified auricular reconstruction with medpor framework for children

Objective: To find out a better technique of auricular reconstruction with Medpor framework for children to obtain better appearance of the reconstructed ear.Methods: The reconstructed ear was implanted by Medpor framework,which was covered by temporal superfacial fascia flap with superfacial temporal arteria.Skin flap of leftover ear covered rear of reconstructed ear,full thick skin graft covered one of obverse side,and infra-leftover ear was modified as auricularlobule.Results: Postoperative follow-up was as long as 24 months.All 12 patients obtained better appearance of the reconstructed ears than those of the operation in earlier period.Conclusion: The modified auricular reconstruction would be a better choice for the children with congenital lack of auricle or hypoplasia of auricle.