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目的探讨先天性小耳畸形的手术修复方法。方法以自体肋软骨为耳支架,耳后扩张皮瓣和耳筋膜覆盖支架,对105例小耳畸形的患者进行了耳廓再造。手术分两期进行:一期扩张器置入,二期为耳廓再造。结果 105例患者中扩张器外露者4例,即行Ⅱ期耳再造手术。软骨支架外露2例,切口处缝合,其余患者均无并发症发生。结论用此方法进行外耳再造具有成功率高,外形逼真,并发症少,是先天性小耳畸形理想的手术治疗方法 。
Objective To investigate the surgical repair of congenital small ear malformation. Methods Auricular reconstruction was performed in 105 patients with small ear deformity with self-costal cartilage as the ear support, posterior dilatation flap and ear fascia covering the stent. Surgery in two phases: a dilator placement, two for the auricle reconstruction. Results In 105 cases, 4 cases were exposed by dilators, that is, Ⅱ stage ear reconstruction operation. 2 cases of cartilage scaffold exposed incision at the suture, the remaining patients were no complications. Conclusion The method of external ear reconstruction with high success rate, realistic appearance, fewer complications, is the ideal surgical treatment of congenital malformations.