中华耳科学杂志Issue(1)：90-92,3.DOI:10.3969/j.issn.1672-2922.2014.01.022
先天性小耳畸形的耳廓再造
Auricle reconstruction of microtia
苏法仁 1丁静华 1薄琳 1刘新刚1
作者信息
- 1. 武警山东总队医院武警部队外耳再造中心 济南 250014
- 折叠
摘要
Abstract
Objective To investigate the methods of auricle reconstruction for microtia. Methods Cases treated be-tween January 2003 and December 2012 were reviewed. Local skin was expanded and the autologous rib cartilaginous skele-ton was shaped based on the digital images of auricle frames generated with the Photoshop software using photos of the con-tralateral normal auricle. The skeleton was then wrapped in expanded local skin flap to complete reconstruction. Results Pa-tients (1,165 ears) were followed-up for six months to ten years. Cartilage frame absorption and distortion of various degrees were seen in 56 patients (56 ears)and infection in 2 patients with liquefaction and necrosis of the cartilage framework. The reconstructed ear showed good match to the contralateral ear in 1,044 cases (1,107ears), with clear structural features, com-parable contours and symmetrical skull-ear angle. Conclusions In addition to adequate local skin expansion, the use of dig-ital design technology in guiding preparation of autologous rib cartilage skeleton improves auricle reconstruction outcomes with few complication, It helps improve therapy for microtia.关键词
先天性小耳畸形/自体肋软骨支架/外耳再造皮肤软组织/扩张器/数字化技术Key words
Microtia/Autogenous cartilage framework/Auricle reconstruction/Skin soft tissue expansion/Digital technology分类
医药卫生引用本文复制引用
苏法仁,丁静华,薄琳,刘新刚..先天性小耳畸形的耳廓再造[J].中华耳科学杂志,2014,(1):90-92,3.
