Ray Edward, Wu Tiffany, Nazarian Mobin Sheila S, Reinisch John, Urata Mark M
University of Southern California Keck School of Medicine, Los Angeles, California, USA.
J Craniofac Surg. 2010 Jul;21(4):1165-9. doi: 10.1097/SCS.0b013e3181e431d6.
The importance of the external ear is both cosmetic and functional. As part of the facial framework, the ear is highly visible and vulnerable to thermal injury. The burned auricle, whether manifesting as a partial deformity or complete loss of the external ear, poses a significant reconstructive challenge.
In this article, we review established techniques and new frontiers in ear reconstruction. Furthermore, we describe the challenges faced when approaching the burned ear.
We have performed a literature search and have discussed the pros and cons of various methods of ear reconstruction.
Reconstructing the burned ear presents a significant challenge, even in the hands of an experienced surgeon. No one modality will work in all situations; therefore, a range of options should be weighed after the tissue deficit has been defined. Surgeon preference and availability of local tissue are the most important variables.
外耳的重要性体现在美观和功能两方面。作为面部结构的一部分，耳朵非常显眼，且容易受到热损伤。烧伤的耳廓，无论是表现为部分畸形还是外耳完全缺失，都带来了重大的重建挑战。
在本文中，我们回顾了耳部重建的既定技术和新前沿。此外，我们描述了处理烧伤耳朵时面临的挑战。
我们进行了文献检索，并讨论了各种耳部重建方法的优缺点。
即使是经验丰富的外科医生，重建烧伤耳朵也面临重大挑战。没有一种方法能适用于所有情况；因此，在确定组织缺损后应权衡一系列选择。外科医生的偏好和局部组织的可用性是最重要的变量。
