组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2023, Vol. 19 ›› Issue (4): 366-.

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瘢痕性隐耳的治疗及耳周瘢痕组织瓣的利用

  

  • 出版日期:2023-08-01 发布日期:2023-09-05

 Treatment of cicatricial cryptotia and utilization of para-auricular scar flap

  • Online:2023-08-01 Published:2023-09-05

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摘要：

目的　探讨瘢痕性隐耳畸形的治疗及耳周瘢痕组织瓣的利用。方法　2014 至 2018 年，共收治瘢痕性隐耳
畸形患者 12 人，通过松解耳廓上极瘢痕粘连、矫正变形的耳软骨，重塑对耳轮形态；同时，利用瘢痕组织瓣局部转移，
重塑颅耳沟形态，并修复耳廓上极、耳廓背侧皮肤缺损。结果　经合理松解瘢痕、耳软骨塑形及瘢痕组织瓣修复，
所有患者瘢痕性隐耳均得到矫正。术后随访 3 个月至 4 年，耳廓形态明显改善，矫正效果稳定。结论　瘢痕松解结
合耳软骨塑形，以及耳周瘢痕组织瓣的应用，可作为瘢痕性隐耳畸形矫正的可靠方法，在不增加额外损伤的前提下
获得良好的临床效果。

关键词:

Abstract:

Objective　To explore the treatment of cicatricial cryptotia and utilization of para-auricular scar flap. Methods
　From 2014 to 2018, 12 cases of cicatricial cryptotia were treated. The correction of cicatricial cryptotia deformity was per
formed by releasing the superior auricular scar adhesion, correcting the deformed auricular cartilage, reshaping the antihelix.
A local scar flap was designed and transferred to reconstruct cranioauricular groove, and the skin defects of the superior- and
dorsal- part of the auricle were repaired as well. Results　All the cicatricial cryptotia were corrected by scar adhesion releasing,
deformed auricular cartilage remodeling and the utilization of a para-auricular scar flap. Follow-up ranged from 3 months to 4
years, and all the patients had significant improvement and stabilized appearance of the auricle. Conclusion　Scar adhesion
releasing, auricular cartilage remodeling and the para-auricular scar tissue repair could be served as the reliable method of de
formity correction, and significant improvement could be obtained without additional donor site compromise.

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