CAJ | 학술논문

目的探讨应用耳后扩张皮瓣联合自体肋软骨支架移植矫正先天性耳甲腔型小耳畸形的临床效果.方法手术分3期:一期制备耳后扩张皮瓣,二期扩张器取出、扩张皮瓣转移、自体肋软骨支架移植、中厚皮片移植术,三期再造耳修整,耳甲腔成形术.结果 2008年8月至2011年8月,应用上述方法修复先天性耳甲腔型小耳畸形108例113只耳,术后患者伤口均一期愈合,均获随访6个月至3年,平均12个月.患者术后再造耳廓形态良好,外耳解剖结构清晰,颅耳角位置、大小、形态与健侧基本一致.结论扩张耳后皮瓣法联合肋软骨支架移植是修复耳甲腔型小耳畸形的一种较理想可靠的方法.
목적 탐토응용이후확장피판연합자체륵연골지가이식교정선천성이갑강형소이기형적림상효과.방법 수술분3기:일기제비이후확장피판,이기확장기취출、확장피판전이、자체륵연골지가이식、중후피편이식술,삼기재조이수정,이갑강성형술.결과 2008년8월지2011년8월,응용상술방법수복선천성이갑강형소이기형108례113지이,술후환자상구균일기유합,균획수방6개월지3년,평균12개월.환자술후재조이곽형태량호,외이해부결구청석,로이각위치、대소、형태여건측기본일치.결론 확장이후피판법연합륵연골지가이식시수복이갑강형소이기형적일충교이상가고적방법.
Objective To explore the clinical effect of the method by using an expanded postauricular skin flap combined with autologous rib cartilage framework for correction of concha-type microtia.Methods The operation were performed in three stages.The expander was implanted under post-auricular skin at the first stage and expanded skin flap was formed.At the second stage,the expander was taken out and the expanded skin flap was transferred with autologous rib cartilage framework and skin graft for correction of microtia.At the third stage,the reconstructed ear was revised and new concha was formed.Results From August 2008 to August 2011,108 cases with 113 concha-type microtia were corrected by this method.All patients healed primarily and were followed up for 6 months to 3 years.The reconstructed ears had a good appearance and position,and were symmetric to ear on the healthy sides.Conclusions Using expanded post-auricular skin flap combined with autologous rib cartilage framework is a reliable method for concha-type microtia.