The methods of total ear reconstruction for microtia:selection and application
10.3760/cma.j.issn.1009-4598.2017.s1.008
- VernacularTitle:先天性小耳畸形耳廓再造术式的选择与运用
- Author:
Xu ZHOU
1
;
Tun LIU
;
Yue WANG
;
Jintian HU
;
Jin QIAN
;
Yangxue OU
;
Bingqing WANG
;
Yangchun XIE
;
Qingguo ZHANG
Author Information
1. 中国医学科学院北京协和医学院整形外科医院耳再造二中心
- Keywords:
Microtia;
Reconstruction of auricle;
Soft tissue expansion
- From:
Chinese Journal of Plastic Surgery
2017;33(z1):34-39
- CountryChina
- Language:Chinese
-
Abstract:
Objective Based on the different physiological characteristics of the mastoid skin and soft tissue in congenital microtia malformation ,the different ear reconstructivemethod were respectively applied for the individuals with microtia .And the feasibility of personalized treatment to microtia patients was explored in this study .Method Considering different thickness and tightness in mastoid hairless skin and soft tissue,2129 microtia patients were received the skin expansionmethod of ear reconstruction surgery , while 1321 cases were treated with Nagata ' s technique, and 330 cases with skin and fascia expansionmethod . Result With average 10-month follow-up,1944 ( 91.31％) cases using the mastoid skin expansionmethod were satisfied with the outcome of the reconstructed ear including three dimensional position and subunit appearance.305(92.42％)cases using the skin and fascia expansionmethod were satisfied with theresult .1264 (95.69％) cases using Nagata ' s two—stagemethod received satisfactory outcomes .49 ( 3.71％) cases showed partial exposure of the cartilage framework .There were no postoperative complications , such as chest wall deformity or affected normal physical function .Conclusion Based on the different physiological characteristics of the mastoid skin and soft tissue ,it's beneficial to select individualized operationalmethod in ear reconstruction for congenital microtia among Chinese patients .
