CAJ | 학술논문

目的：观察并比较耳廓复合组织移植分期矫正杯状耳畸形的两种手术顺序的临床疗效。方法2010年3月至2013年7月，18例先天性单侧杯状耳畸形均采用耳廓复合组织游离移植分期矫正，其中9例耳轮环缩明显者使用A手术顺序：Ⅰ期行复合组织游离移植术Ⅱ期行耳畸形矫正术；9例环缩较轻、耳廓上部垂落明显者采用B手术顺序：Ⅰ期行耳畸形矫正术Ⅱ期行复合组织游离移植术，通过对患者进行术后随访，比较两种治疗顺序的临床效果、并发症和优缺点。结果随访观察表明，18例患者术后双耳位置、形态、大小基本对称，未出现复发和严重并发症。结论根据患耳的环缩程度选择适当的手术顺序，均可取得满意的临床效果。
목적：관찰병비교이곽복합조직이식분기교정배상이기형적량충수술순서적림상료효。방법2010년3월지2013년7월，18례선천성단측배상이기형균채용이곽복합조직유리이식분기교정，기중9례이륜배축명현자사용A수술순서：Ⅰ기행복합조직유리이식술Ⅱ기행이기형교정술；9례배축교경、이곽상부수락명현자채용B수술순서：Ⅰ기행이기형교정술Ⅱ기행복합조직유리이식술，통과대환자진행술후수방，비교량충치료순서적림상효과、병발증화우결점。결과수방관찰표명，18례환자술후쌍이위치、형태、대소기본대칭，미출현복발화엄중병발증。결론근거환이적배축정도선택괄당적수술순서，균가취득만의적림상효과。
Object To compare two sequences of operations for the treatment of congenital unilateral moderate constrict-ed ears. Methods A total of 18 patients with constricted ears seen between March 1, 2010, and July 31, 2013 were selected to be in Group A if showing significant constriction, or in Group B if drooping of upper auricle was the main deformity. For Group A, a free auricular composite graft from the opposite normal ear was harvested and wedged into the affected ear during the first-stage, and a second-stage operation on the constricted ear was performed 6-12 months after the successful grafting. Patients in Group B underwent reconstruction with reversed operative sequence. Results All patients showed reliable, consis-tent esthetic results with good symmetry between the affected and normal ears and few relapses or serious complications. Most patients were satisfied with the outcomes. Conclusions Both operation sequences are considered effective for the correction of moderate constricted ear deformity. Adequate preoperative evaluation and proper operative sequence selection are the key for treatment success.