武警医学2025，Vol.36Issue(1)：39-41,3.
自体肋软骨移植再造耳廓治疗Ⅱ度小耳畸形的临床效果
Application of partial auricular reconstruction with autologous rib cartilage in the treat-ment of grade Ⅱ microtia
摘要
Abstract
Objective To explore the therapeutic effect of partial auricular reconstruction with autologous rib cartilage in the treatment of grade Ⅱ microtia.Methods From January 2019 toDecember 2023,15 grade Ⅱ microtia patients were treated.Based on the size,position,and shape of the patient's healthy ear and the shape of the affected ear,personalized carving of partial ear cartilage scaffolds using autologous rib cartilage was applied to make them have missing structures such as the helix and antihelix.We released and separated the skin to create a skin flap,and implanted the carved cartilage scaffold into the missing location of the helix and antihe-lix which completely wrapped the auricle scaffold and residual ear structure.After Observed the postoperative effect and one-year fol-low-up to observe complications,we investigated patient satisfaction.Results All 15 patients had stage Ⅰ wound healing after surgery,and no complications such as hematoma,infection,or skin necrosis occurred.After surgery,the partially reconstructed ear was natural-ly connected to the residual ear,with three-dimensional and realistic structures such as the helix,antihelix,and scapha.The affected ear had a similar overall shape and position to the healthy ear.There was no issues such as cartilage exposure or auricular deformation.Among the 15 patients,12 were very satisfied with the postoperative results,and 3 were generally satisfied,with a satisfaction rate of 100％.Conclusions The application of autologous rib cartilage transplantation in partial auricular reconstruction for personalized treat-ment of grade 11 microtia has good results and fewer postoperative complications,which is worthy of clinical application and promotion.关键词
小耳畸形/自体肋软骨/手术治疗Key words
microtia/autogenous costal cartilage/surgical treatment分类
医药卫生引用本文复制引用
刘玉红,吕晓旭,薄琳,苏法仁,马启发..自体肋软骨移植再造耳廓治疗Ⅱ度小耳畸形的临床效果[J].武警医学,2025,36(1):39-41,3.基金项目
军队保健和计生专项科研课题(22JSZ08) （22JSZ08）
