目的 总结中耳手术后并发化脓性耳廓软骨膜炎的治疗经验.方法 回顾性分析9例中耳手术后并发化脓性耳廓软骨膜炎患者的临床资料.结果 9例患者均于中耳手术后4-15天(平均7.8天)出现术耳耳廓疼痛,4例耳廓软骨未受累者经抗炎、切开排脓治疗后痊愈,未遗留耳廓畸形;4例部分耳廓软骨受累者经1-2次病变软骨清创术治愈,其中1例遗留轻微耳廓畸形;1例全耳廓软骨受累感染者行彻底软骨清创术后遗留菜花样耳畸形.结论 中耳手术后并发化脓性耳廓软骨膜炎早期易忽视、漏诊,炎症早期应以抗绿脓杆菌抗生素为主;一旦脓肿形成,则应及时切开排脓;若软骨受累,则应果断、彻底行病变软骨清创术.%Objective To report experiences in the treatment of auricular perichondritis secondary to middle ear surgeries. Methods Clinical data of 9 patients who were admitted for auricular perichondritis after middle ear operation were retrospectively analyzed. Results Auricle soreness usually occurred 4 to 15 days (average 7.8 days) after the mid-dle ear operation. In 4 patients, where the auricular cartilage was not involved, peirchondritis resolved following antibi-otics treatment or/and incision and drainage without any deformity. Debridement (one to two times) was performed in 4 patients whose auricular cartilage were partly involved, resulting in minor residual deformity in one patient. The remain-ing one patient whose auricular cartilage was extensively involved was treated by radical surgical debridement and end-ed up with a"cauliflower ear". Conclusions Auricular perichondritis secondary to middle ear operation is often not di-agnosed properly. Initial treatment should include anti-pseudomonal antibiotics. Incision and drainage should be per-formed in cases in which an abscess has formed. Once the auricular cartilage is involved, prompt and thorough surgical debridement should be performed.
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