报道２２例先天性小耳症耳廓再造的方法及改进技术。采用软骨支架立体雕塑方法结合耳后支架埋置处皮肤急性扩张，及利用小耳组织重建耳垂、耳屏及耳甲腔，Ⅱ期手术耳廓掀起成形，行耳廓再造２２例。结果２２例患者，Ⅰ期耳廓支架埋入后均完全愈合，Ⅰ期术后可见埋置于皮下的立体感较强的再造耳形态，术中充分利用小耳组织，设计皮瓣及软骨皮瓣，Ⅰ期重建耳垂、耳屏及耳甲腔，取得良好效果，Ⅱ期耳廓掀起成形，外形满意。在耳廓再造术中，耳廓软骨支架的立体雕塑是本技术的关键，耳后皮肤的术中急性扩张，及充分利用小耳组织，改善再造耳廓形态，有助于塑造更完美的耳廓 Report of 22 cases of congenital ear disease auricle reconstruction methods and improved technology. A cartilaginous scaffold scaffold was used in combination with the acute dilatation of the skin at the posterior wall of the posterior scaffold, and the earlobe, the tragus and the cavum of the ear were reconstructed with a small ear. Twenty-two cases of auricular reconstruction were performed. Results Twenty-two patients, Ⅰ stage auricle scaffolds were completely healed after embedding, stage Ⅰ after surgery can be buried under the skin with a strong sense of three-dimensional reconstruction of the ear morphology, the full use of small ears in the surgery, the design flap and cartilage flap , Ⅰ reconstruction of the earlobe, tragus and the ear cavity, and achieved good results, Ⅱ set off auricle shape, shape satisfactory. In auricle reconstruction, three-dimensional sculpting of the auricle cartilage scaffold is the key to this technique. Acute dilation of the posterior auricular skin, as well as the use of small ear tissue to improve the morphology of the auricle, help to create a more perfect auricle