目的 :探讨耳郭部分缺损手术修复的方法及不同皮瓣的临床应用。方法 :对耳郭部分缺损的 14例采用耳后带蒂皮瓣 ,耳后肌为蒂的皮瓣 ,耳郭内侧软骨皮瓣、耳后皮瓣联合整复和耳前、耳后皮瓣联合整复等 4种不同的手术方法和皮瓣进行一期整复 ,并术后随访。结果 :14例中除 2例因清创不彻底和电刀使用过重致皮瓣远端延迟愈合外 ,余均一期愈合 ,整形效果满意。结论 :设计的 4种不同皮瓣及手术方法均能一期整复耳郭部分缺损 ,适应证广 ,成活率高 ,值得临床推广使用 Objective: To investigate the method of surgical repair of partial auricular defects and the clinical application of different flaps. Methods: Forty cases of partial auricular defects were treated with the pedicled posterior pedicle flap, the posterior posterior pedicle flap, the medial cartilaginous flap of the auricle, the posterior posterior flap combined with reconstruction and the anterior and posterior flap joint Reconstructive and other 4 different surgical methods and flap for a period of rehabilitation, and follow-up. Results: Of the 14 cases, 2 cases were cured due to incomplete debridement and prolonged distal delayed healing of the electric knife. CONCLUSION: Four kinds of different flaps and surgical methods can all be used to reconstruct auricular defects in one stage, with a wide range of indications and high survival rate, which is worthy of clinical application