CAJ | 학술논문

目的探讨耳廓再造术中颅耳角成形的一种方法.方法于再造耳的耳轮外缘外侧0.5 cm设计切口,掀起再造耳,并于耳支架深面携带较厚的筋膜；将一期手术预留埋植的肋软骨作为耳后支撑支架,调节支架位置与角度,使再造耳的形态、位置、轴向接近于健耳,并使颅耳角较对侧稍大；在再造耳廓的上方及下方乳突区各设计1个皮瓣,分别向颅耳沟旋转,将两皮瓣对位缝合,覆盖支撑软骨；皮瓣两侧创面分别植皮.结果本组患者共72例,皮瓣全部成活.51例患者得到随访,随访时间3 ～ 24个月,术后颅耳角维持于约20 ～30度,形态稳定,效果满意.结论两瓣法复合植皮颅耳角成形术式简单易行,安全可靠,是再造颅耳角的一种可行方法.
목적 탐토이곽재조술중로이각성형적일충방법.방법 우재조이적이륜외연외측0.5 cm설계절구,흔기재조이,병우이지가심면휴대교후적근막；장일기수술예류매식적륵연골작위이후지탱지가,조절지가위치여각도,사재조이적형태、위치、축향접근우건이,병사로이각교대측초대；재재조이곽적상방급하방유돌구각설계1개피판,분별향로이구선전,장량피판대위봉합,복개지탱연골；피판량측창면분별식피.결과 본조환자공72례,피판전부성활.51례환자득도수방,수방시간3 ～ 24개월,술후로이각유지우약20 ～30도,형태은정,효과만의.결론 량판법복합식피로이각성형술식간단역행,안전가고,시재조로이각적일충가행방법.
Objective To investigate the method for creation of auriculocephalic sulcus.Methods The reconstruction was performed 4-12 months after the first surgery.Skin incision was made 5mm posterior to the outer margin of the auricle.The ear framework was elevated with a thick fascia at the deep surface.The costal cartilage banked at the first operation was shaved and transplanted to the deep surface of the concha with sutures.The position and angle of the ear framework was adjusted to be familiar to the healthy ear.The auriculocephalic angle was slightly larger than that in the contralateral ear.Two flaps were designed at the upper and lower area of reconstructed ear and rotated to cover the cartilage.The wound at the donor site was closed with skin graft. Results A total of 72 patients were treated. All the flaps survived completely. 51 patients were followed up for 3-24 months with satisfactory results. The auriculocephalic sulcus maintained at about 20-30 degree.Conclusions It is a simple,safe and reliable method to create a auriculocephalic sulcus with two random skin flaps from mastoid area combined with skin graft.