Chkadua T Z, Brusova L A
Stomatologiia (Mosk). 2009;88(6):35-8.
Today the most often used method - many stage otoplasty method with the use of auto- and allocartilage, the basic positions of which were formulated in 60-70 years. The use of temporoparietal arterialized fascial flap let to improve considerably aesthetic results of the operations and shorten the terms of treatment. Suggested way of elimination of auricle defect differs in that that as framework we use silicone implant repeating the form and relief of auricle and temporoparietal fascial flap is cut out according to the auricle form with the correlation of temporoparietal fascial flap and silicone implant as 1.5-2.5:1; the temporoparietal fascial flap is formed in such a way that its upper-back part covers the front and back implant surfaces. The use of silicone implant as auricle framework (due to its elasticity, strength, inertness and biocompatibility) promotes the achieved result preservation and allow patient to sleep on the side of the formed auricle, its blood supply is not affected.
如今，最常用的方法是多阶段耳整形术，使用自体软骨和异体软骨，其基本理念形成于60至70年代。颞顶动脉化筋膜瓣的使用显著改善了手术的美学效果，并缩短了治疗周期。所建议的耳廓缺损修复方法的不同之处在于，我们使用硅胶植入物作为支架，其形状和轮廓模仿耳廓，颞顶筋膜瓣根据耳廓形状切取，颞顶筋膜瓣与硅胶植入物的比例为1.5 - 2.5:1；颞顶筋膜瓣的形成方式是使其上背部覆盖植入物的前后表面。使用硅胶植入物作为耳廓支架（因其弹性、强度、惰性和生物相容性）有助于保持手术效果，并允许患者在成形耳廓一侧睡眠，其血供不受影响。
