CAJ | 학술논문

目的：探讨“一次成形”耳廓再造术在适宜患者群中的应用。方法选取自2011年3月至2013年7月期间本科室收入的24例需外耳再造患者，应用自体肋软骨支架移植行一次成形法耳廓再造。对照组为同期科室收入的相同病例，应用扩张皮瓣法行耳廓再造。结果经过术后1个月~2年的随访，平均随访约1年，其中拥有耳甲腔的再造耳形态逼真。Ⅱ度小耳畸形患者，与扩张皮瓣法耳廓再造相比，一次成形法耳甲腔较浅。24只再造耳廓总体形态效果较为满意。结论“一次成形”技术操作周期短，并发症少，与扩张皮瓣法相较，亦可以显现耳廓表面细微结构，兼具外形与立体感，在合适的患者群中，是一项可靠稳定的外耳再造术。
목적：탐토“일차성형”이곽재조술재괄의환자군중적응용。방법선취자2011년3월지2013년7월기간본과실수입적24례수외이재조환자，응용자체륵연골지가이식행일차성형법이곽재조。대조조위동기과실수입적상동병례，응용확장피판법행이곽재조。결과경과술후1개월~2년적수방，평균수방약1년，기중옹유이갑강적재조이형태핍진。Ⅱ도소이기형환자，여확장피판법이곽재조상비，일차성형법이갑강교천。24지재조이곽총체형태효과교위만의。결론“일차성형”기술조작주기단，병발증소，여확장피판법상교，역가이현현이곽표면세미결구，겸구외형여입체감，재합괄적환자군중，시일항가고은정적외이재조술。
Objective To analyze the clinical efficacy of one-stage total process technique in ear reconstruction on eligi-ble patients. Methods 24 patients from March 2011 to July 2013 were selected to undertake the one-stage total ear reconstruc-tion using autologous costal cartilage framework. The control group is made up by patients in same period using soft tissue ex-pander in ear reconstruction. Results A11 patients were followed up for 1 m~2 Y(average 1 y)after surgery. For that cases that possessed cavity of auricular concha,the reconstructed ears were coincidence with the normal side on location, form and dimen-sion. While for the cases belonged to degreeⅡmicrotia, Compared with the ear reconstruction using soft tissue expander, the one-stage total reconstructed ears seemed like having a little shallow cavity of auricular concha. However, the overall appear-ance was relatively satisfied in all 24 reconstructed auricles. Conclusions Compared with the ear reconstruction using soft tis-sue expander, the one-stage technique is suitable to eligible patients for the priority on shorter treatment time with few compli-cations and acquiring excellent reconstructed structure as well.