耳软骨折叠卷曲法矫正招风耳畸形.docVIP

耳软骨折叠卷曲法矫正招风耳畸形[摘要]目的:介绍运用耳软骨折叠卷曲法矫正招风耳畸形。方法:招风耳畸形59只,着色定3～4点,三角窝和耳舟A点,A1点,对耳轮分叉处B点,B1点, 对耳轮尾部两侧定C点,C1点。如果外耳长轴6cm,增加D点,D1点在外耳道平行线与新对耳轮交界处。切开耳后皮肤,沿标记点在耳软骨表面做两道切口,做耳前皮下剥离,在耳甲软骨外侧面反复划痕后,褥式缝合耳软骨边缘,卷曲形成平滑的对耳轮嵴。将耳甲腔软骨缝合于乳突骨膜上,使耳廓和乳突的距离缩小。结果:59只招风耳术后随访1～24个月,均获得满意效果,无复发。结论:该术式矫正招风耳畸形具有操作简单易行、效果确切、不易复发和并发症少等优点。 [关键词]招风耳;整形;耳整形 [中图分类号]R622[文献标识码]A[文章编号]1008-6455(2010)04-0489-03 Experiencefor correction of prominent ears ZHANG Jin-guang,HE Le-ren,ZHUANG Hong-xing (Auricular Reconstructive Center,Plastic Surgery Hospital,Peking Union Medical College,Chinese Academy of Medical Science,Beijing 100144,China) Abstract: ObjectiveTo introduceour experience for correction of prominent ears by ear cartilage-folding methodwhich amalgamated some well-known techniques.MethodsThree pairs of points are marked and tattooed on the skin of the anterior surface of the ear, Points A and A1 are located between the triangular pit and the scapha;points B and B1 are located down the bifurcation of the antihelix;points C and C1 are located at the tail of the antihelix,D and D1 in line with the external auditory canal.The anterior area of antihelix was dissected subcutaneously.Two linear surgical incision are made on the posterior surface of the cartilage along the markings, then the surface of cartilage was scoring.Satisfactory antihelix was established by folding with mattress suturing. The back of concha cartilage was fixed to the mastoid periost to decrease the cranioauricular angle.Results59 cases of prominent ears were followed up postoperatively from 1 to 24 months and almost all of the ears achieved satisfactory effects.Both the antihelix and cranioauricular angle were changed markedly. Conclusion This technique is easy and simple,and has reliable effect. Key words:prominent ear;otoplasty; auricle reconstruction 外耳对于面部轮廓的对称性起着重要的美容平衡作用,在耳部的各种畸形中,招风耳是最常见的先天性畸形发生率约为5%。其临床表现为对耳轮形成不全和/或耳甲软骨过度发育给人以耳廓位置过高或过于宽大的不良感觉。目前的资料显示招风耳具有家族遗传性。男女发病比例无明显差异[1]。 招风耳畸形的矫正,对于面部的外形和患者心理治疗