CAJ | 학술논문

目的探索利用自体肋软骨多层拼接雕刻耳支架进行小耳畸形耳廓成形术的临床效果.方法自2010年2月至2011年5月,对29例单侧小耳畸形患者进行自体肋软骨4层拼接雕刻耳支架耳廓成形术.结果 29例形成的外耳横突高度均一次性达到2 cm,基本与对侧外耳横突高度一致,患者及其家属均满意.随访3～12个月,仅1例再造外耳横突高度明显降低,经寻问患者,因睡觉姿势未注意保护患侧再造外耳,导致形成的外耳经常受压所致.结论自体肋软骨多层拼接雕刻耳支架耳廓形成术临床效果好,可以使成形的外耳横实达到正常高度,从而避免在Ⅲ期手术时再次肋软骨移植以增加横突高度.
목적 탐색이용자체륵연골다층병접조각이지가진행소이기형이곽성형술적림상효과.방법 자2010년2월지2011년5월,대29례단측소이기형환자진행자체륵연골4층병접조각이지가이곽성형술.결과 29례형성적외이횡돌고도균일차성체도2 cm,기본여대측외이횡돌고도일치,환자급기가속균만의.수방3～12개월,부1례재조외이횡돌고도명현강저,경심문환자,인수각자세미주의보호환측재조외이,도치형성적외이경상수압소치.결론 자체륵연골다층병접조각이지가이곽형성술림상효과호,가이사성형적외이횡실체도정상고도,종이피면재Ⅲ기수술시재차륵연골이식이증가횡돌고도.
Objective To explore ear reconstruction using autologous rib cartilage ear framework by multi-layer spliced sculpture in microtia patients.Methods From Feb 2010 to May 2011,29 microtia patients were subjected to ear reconstruction using autologous rib cartilage ear framwork by four-layer spliced sculpture.Results In one operation 29 patients achieved 2 cm transverse height of reconstructed ears which were basically coincidence with the normal side.Patents and their families were all satisfied with the results.Follow-up of 3-12 months showed that only 1 case reconstructed-ear height was significantly lower transverse process.Owing to sleeping position,the patient did not protect the reconstructed ear,leading to frequent reconstructed-ear pressure.Conclusions The method of multi-layer spliced sculpture autologous rib cartilage ear reconstruction has good clinical effect.It can make reconstructed ear reach nomal transverse height and avoid the third rib cartilage transplant operation to continue increasing the transvers height.