CAJ | 학술논문

目的：探讨缝卷软骨瓣联合耳廓复合组织游离移植矫正单侧轻中度杯状耳畸形的疗效。方法手术分二期完成，一期于耳后上部梭形切开，将耳上部皮肤脱套并分离切开耳廓软骨，将耳后软骨向后反折缝合，形成对耳轮上脚，矫正杯状耳前倾畸形。二期将健侧耳廓上部切取楔形复合组织瓣，游离移植于患耳上部，增加患耳周径，使双耳对称。结果本组患者14例（14耳），术后随访6个月～1年，效果良好，双耳对称。结论缝卷软骨联合耳廓复合组织移植矫正单侧杯状耳畸形是矫正单侧轻中度杯状耳畸形的一种简单有效的手术方法。
목적：탐토봉권연골판연합이곽복합조직유리이식교정단측경중도배상이기형적료효。방법수술분이기완성，일기우이후상부사형절개，장이상부피부탈투병분리절개이곽연골，장이후연골향후반절봉합，형성대이륜상각，교정배상이전경기형。이기장건측이곽상부절취설형복합조직판，유리이식우환이상부，증가환이주경，사쌍이대칭。결과본조환자14례（14이），술후수방6개월～1년，효과량호，쌍이대칭。결론봉권연골연합이곽복합조직이식교정단측배상이기형시교정단측경중도배상이기형적일충간단유효적수술방법。
Objective To explore the curative effect of tumbling cartilage flap combined with auricular free composite graft flap for correction of constricted ear. Methods Operation was designed as two stages.A fusiform skin incision was de-signed on the post and superior part of the ear.Auricle cartilage flap was dissected and elevated away from the edge of the he-lix, then the cartilage flap was reflexed and sutured to form the normal upper crus of antihelix, and normal auricle shape was maintained. At the second stage, a auricular free composite graft flap harvested from the normal ear was transplanted in the cor-rected ear. Circumference of the corrected ear was enlarged and symmetry was achieved. Results All corrected auricles 14 cases (14 ears) were followed up from 6 months to 1 year and got satisfied and stable appearance. Conclusion Tumbling carti-lage combined with auricular free composite graft flap is simple and effective for correction of constricted ear.