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目的改进Ⅱ型杯状耳的手术方法,即在松解耳软骨卷曲的基础上,行耳软骨管成形术。方法先按照Musgrave法将畸形软骨松解,使耳舟与耳甲的夹角得以恢复,按照Convers法行软骨切开并缝制成软骨管,根据耳舟与耳甲的夹角调整软骨管的松紧程度,直至外观满意。结果35例患者,62只耳术后畸形得到矫正,外观自然、满意,无感染及畸形复发现象。结论软骨管成形术简单,易于操作且术后患耳外观自然,既能有效避免畸形的复发,重建对耳轮,又能使耳甲与耳舟的夹角得到恢复,对Ⅱ型杯状耳畸形修复最为适合。但术中应注意剥离的厚度及层次、软骨管的位置及塑形。
Objective To improve the surgical method of type Ⅱ cup-shaped ear, that is, to release ear cartilage on the basis of loosening cartilage. Methods The Musgrave method was used to release the deformity cartilage so that the angle between the ear and the concha could be restored. According to the Convers method, the cartilage was cut and sewn into cartilage. The cartilage was adjusted according to the angle between the ear and the concha Tightness, until the appearance of satisfaction. Results 35 patients, 62 ears corrected postoperative deformity, the appearance of natural, satisfied, no infection and recurrence of deformity. Conclusions Cartilage angioplasty is simple, easy to manipulate and the external appearance of the affected ear is natural. It not only can effectively avoid the recurrence of deformity, but also can restore the angle between the concha and the ear canal. Repair the most suitable. However, surgery should pay attention to the thickness and level of stripping, cartilage position and shape.