扩张法耳再造治疗先天性小耳畸形

摘要

探讨皮肤软组织扩张器和自体肋软骨支架移植治疗先天性小耳畸形的修复效果.方法:采用一期皮肤软组织扩张器置入,同时对残耳进行处理:二期使用自体肋软骨雕刻支架移植的方法治疗先天性小耳畸形患者共17例.结果:经1.5～3年随访观察,除了1例因感染取出耳支架外,其余再造耳廓皮瓣色泽红润、再造耳廓位置、形态、大小和对侧基本一致,结论:组织扩张器结合自体肋软骨支架移植的外耳再造方法,是治疗先天性小耳畸形的适宜方法.%Objective To explore the effect of soft tissue skin expander and autogenous rib cartilage framework in treatment of congenital microtia. Methods Ear reconstruction was conducted with soft tissue skin expander and autogenous rib cartilage framework in 17 patients with congenital microtia. Results The patients were followed up for 1.5 to 3 years. A rib cartilage framework in one patient was removed for infection. In other patients, the flaps of reconstructed ear were ruddy and reconstructed ears were coincident with those of the normal side on location, form and dimension. Conclusion Soft tissue skin expander together with autogenous rib cartilage framework could be used for the treatment of congenital microtia.