组织工程与重建外科杂志2023，Vol.19Issue(6)：530-534,5.DOI:10.3969/j.issn.1673-0364.2023.06.002
局部软骨瓣翻转法矫正隐耳畸形
Correcting cryptotia by overturning constricted cartilage
摘要
Abstract
Objective To explore a new method of correcting cryptotia by overturning constricted cartilage.By this method,the mechanical direction of cartilage is changed.Methods Thirty cryptotia patients were treated from 2010 to 2022.The retroauricular skin flap was elevated to expose the posterior aspect of the upper auricular cartilage.The abnormal insertion of the auricular intrinsic muscles was detached.Cut and overturned the sharp antihelical cartilage,and the scalp skin flap was undermined and advanced toward the postauricular sulcus.The edge of the retroauricular scalp flap was fixed on the mastoid periosteum to release tension of the incision.Results The 22 unilateral and 8 bilateral cryptotia patients were followed up for 6-48 months.Favorable results maintained without skin necrosis or other complications.No case needed revision surgery.Conclusion This new method of overturning the cartilage flap is generally applicable to moderate and severe patients with cryptotia,and its innovative point is to completely change the mechanical direction of constricted cartilage in the region of the antihelix.关键词
先天性隐耳畸形/隐耳矫正术/游离软骨瓣/耳廓畸形Key words
Congenital cryptotia/Cryptotia correcting/Free cartilage flap/Auricular deformity分类
医药卫生引用本文复制引用
李意源,张群,许志成,许枫,李大涛,陈霞,张如鸿..局部软骨瓣翻转法矫正隐耳畸形[J].组织工程与重建外科杂志,2023,19(6):530-534,5.基金项目
上海市科学技术委员会临床医学研究中心项目(22MC1940300). （22MC1940300）
