CAJ | 학술논문

目的：探讨并评价改良颅耳角成形术在全耳再造中的应用及临床效果。方法2012年9月至2014年6月，对161例先天性小耳畸形患者进行全耳再造。一期术后6个月行二期手术，采用改良颅耳角成形术完成颅耳角重建：人工骨材料作为支撑支架，耳后筋膜包裹支架，耳后枕部刃厚皮片植皮。结果本组患者术后随访6~18个月（平均12个月），151例患者术后颅耳角形态满意；10患者术后颅耳角瘢痕挛缩较明显，影响颅耳角角度。9例患者颅耳角植皮区下部色泽变深或出现表皮坏死，经换药处理后愈合良好。结论改良颅耳角成形术能较好地呈现满意的颅耳角结构。
목적：탐토병평개개량로이각성형술재전이재조중적응용급림상효과。방법2012년9월지2014년6월，대161례선천성소이기형환자진행전이재조。일기술후6개월행이기수술，채용개량로이각성형술완성로이각중건：인공골재료작위지탱지가，이후근막포과지가，이후침부인후피편식피。결과본조환자술후수방6~18개월（평균12개월），151례환자술후로이각형태만의；10환자술후로이각반흔련축교명현，영향로이각각도。9례환자로이각식피구하부색택변심혹출현표피배사，경환약처리후유합량호。결론개량로이각성형술능교호지정현만의적로이각결구。
Objective To investigate the application and effects of the modified ear elevation in ear reconstruction. Methods From Sep. 2012 to Jun. 2014, 161 cases with congenital microtia were received ear reconstruction. The modified elevation in second stage was performed 6 months after first-stage operation for auriculocephalic angle reconstruction. EH composite wedge was transplanted at the rear side of framework, then the homolateral postauricular fascial flap was used to cover the postauriclar-frame, finally split-skin graft were transplanted on the fascia surface. Results All patients were followed up for 6-18 months (mean 12 months). In 151 patients, reconstructed auriculocephalic angle was close to the normal side. In other 10 patients, severe scar contracture was observed. Darker epidermis or partial grafted skin necrosis (<1 cm 2) were observed in 9 cases, and were healed by dressing. Conclusion Modified ear elevation in second stage can achieve satisfactory structure of auriculocephalic angle.