先天性小耳畸形的耳廓再造

发布时间：2018-04-28 08:40

本文选题：先天性小耳畸形 + 自体肋软骨支架　；参考：《中华耳科学杂志》2014年01期

【摘要】：目的探讨先天性小耳畸形的耳廓再造与重建方法。方法 2003年1月至2012年12月,采用皮肤软组织扩张法,利用健耳相片,通过计算机photoshop软件数字化翻转处理形成即要再造耳廓的相片,然后进行耳廓软骨支架的雕刻,用扩张后的患耳乳突区皮瓣覆盖雕刻的自体肋软骨耳廓支架行耳廓再造。结果 1102例(1165耳)经过6个月~10年的随访观察。其中56例(56耳)再造耳廓有不同程度的软骨吸收、变形;2例(2耳)肋软骨支架感染、肋软骨液化、坏死;1044例(1107耳)再造耳廓与健耳匹配,凹凸结构显示清晰,形状相似、逼真,颅耳角的角度与健耳对称。结论用皮肤软组织扩张法行耳廓再造,术中应用数字化技术形成患耳相片指导自体肋软骨耳廓软骨支架的雕刻,效果满意、并发症少,是先天性小耳畸形较好的治疗方法。
[Abstract]:Objective to explore the method of auricle reconstruction and reconstruction in congenital microauricle malformation. Methods from January 2003 to December 2012, using the method of skin and soft tissue expansion, the images of auricle were created by digital flip processing with photoshop software, and then the auricle cartilage scaffolds were carved. The auricle was reconstructed with the expanded auricle flap covering the autogenous costal cartilage auricle. Results 1102 cases (1165 ears) were followed up for 6 months to 10 years. 56 ears (56 ears) the reconstructed auricle had different degree of cartilage absorption, 2 cases of deformed auricle were infected with stents of costal cartilage, 1044 cases were necrotic, 1044 cases were necrotic) the reconstructed auricle matched with healthy ear. The concave and convex structures showed clear, similar shape and lifelike. The angle of the cranial horn is symmetrical to that of the healthy ear. Conclusion the method of skin and soft tissue expansion is used to reconstruct the auricle and the digital technique is used to guide the engraving of autogenous costal cartilage. The result is satisfactory and the complications are less. It is a better treatment method for congenital microauricle malformation.
【作者单位】：武警山东总队医院武警部队外耳再造中心;
【分类号】：R764.7

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