CAJ | 학술논문

目的：探讨Ⅰ期整复术治疗先天性外耳、中耳畸形和外耳道闭锁并存的患者的疗效。方法：耳廓成形术：取自体肋软骨作支架，患耳颞部超薄皮瓣及皮下组织瓣包裹软骨支架形成再造耳廓。鼓室成形术：根据鼓室畸形情况作Ⅰ型或大鼓室Ⅲ型成形术；外耳道再造：用全厚皮片移植。结果：术后随访4～6年，全部病例外耳道宽畅，成形鼓膜完整。语言频率听阈降低均达到应用水平；再造耳¨耳成活，8耳外形满意。结论：Ⅰ期整复术是治疗外耳、中耳畸形和外耳道闭锁并存的有效方法。
목적：탐토Ⅰ기정복술치료선천성외이、중이기형화외이도폐쇄병존적환자적료효。방법：이곽성형술：취자체륵연골작지가，환이섭부초박피판급피하조직판포과연골지가형성재조이곽。고실성형술：근거고실기형정황작Ⅰ형혹대고실Ⅲ형성형술；외이도재조：용전후피편이식。결과：술후수방4～6년，전부병예외이도관창，성형고막완정。어언빈솔은역강저균체도응용수평；재조이¨이성활，8이외형만의。결론：Ⅰ기정복술시치료외이、중이기형화외이도폐쇄병존적유효방법。
Objective: To investigate the application of one stage otoptasty for congenital atresia of the external acoustic canal and malformations of the middle ear and the auricle. Method: patients with the ear malformations were given surgical reconstruction of one stage otoplasty. The auricle was reconstructed with the rib which was encapsuled with the superthin temporal flap. According to the malformations of the middle ear in patients, Ⅰ style tympanoplasty and Ⅲ style tympanoplasty were carried out respectively. All patients were performed myringoplasty with temporal fascia and reconstructed the external acoustic canal with full thickness skin-grafting. Result:A long term follow-up (4～6 years)demonstrated that 11 ears were survival of which 8 ears figuration were ideal. The hearing improvement was observed in all patients. Conclusion:one stage otoplasty is effective for treatment of the congenital malformations of the external and middle ear.