组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2025, Vol. 21 ›› Issue (1): 1-.

• •    下一篇

先天性小耳畸形应用自体肋软骨二期法全耳再造诊疗专家共识

  

  • 出版日期:2025-02-25 发布日期:2025-03-06

Expert consensus on diagnosis and treatment of two-staged microtia reconstruction with autologous rib cartilage

  • Online:2025-02-25 Published:2025-03-06

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摘要： 先天性小耳畸形是面部常见畸形，也是外耳先天畸形中表现最为严重的一种生理缺陷，应用自体肋软骨二期 法全耳再造术是目前治疗先天性小耳畸形的国际主流术式。本共识经过全国专家组反复讨论，同时借鉴和参考国内外 近年来的研究成果，供全国整形外科和耳鼻喉科从事耳再造整复专业医师在临床工作中参考使用。本共识主要内容包 括先天性小耳畸形发病机制、术前评估和准备、手术要点、术后护理和并发症处理策略等。

关键词: 小耳畸形, 　全耳再造, 　专家共识

Abstract: Microtia is a common facial deformity and the most severe physiological defect among congenital ear deformities. The application of autologous rib cartilage in two ‐staged auricular reconstruction is currently the international mainstream surgical approach for microtia reconstruction. This consensus has been thoroughly discussed by a national expert group while incorporating recent research findings from both domestic and international sources. It serves as a reference for surgeons specializing in ear reconstruction within the fields of plastic surgery and otolaryngology across the country. The main topics of this consensus included the pathogenesis， preoperative assessment and preparation， key points of operation， postoperative nursing and strategies for managing complications of microtia.

Key words: Microtia, 　Total auricular reconstruction, 　Expert consensus