Hwang Kun, Kim Dong Hyun, You Sun Hye
Department of Plastic Surgery, Inha University School of Medicine, Incheon, Republic of Korea.
J Craniofac Surg. 2011 Jan;22(1):279-80. doi: 10.1097/SCS.0b013e3181f7b7c5.
Congenital cleft earlobe is classified into longitudinal, transverse, triple, and defective types. The transverse type is rare. We report an 11-year-old girl with a transverse cleft of the earlobe that was corrected with a dermofat graft and a de-epithelialized tongue flap. The anterior (superior) and posterior (inferior) lobes of the transverse cleft were divided. Dermofat tissue from the ipsilateral retroauricular area was grafted between the lobes, and an anterior de-epithelialized (tongue) flap was inset in addition. Dermofat graft and de-epithelialized flap were applied effectively to a soft tissue defect in a congenital cleft of the earlobe. The shape and contour of the earlobe were then acceptable. Congenital transverse cleft of the earlobe can be corrected by supplementing a soft tissue defect with a dermofat graft and a de-epithelialized flap.
先天性耳垂裂分为纵裂、横裂、三裂及缺损型。横裂型较为罕见。我们报告了一名11岁女孩，其耳垂横裂采用真皮脂肪移植和去上皮舌瓣进行矫正。横裂的前（上）叶和后（下）叶被分开。取自同侧耳后区域的真皮脂肪组织移植于两叶之间，此外还植入了一块去上皮化的前（舌）瓣。真皮脂肪移植和去上皮瓣有效地应用于先天性耳垂裂的软组织缺损。耳垂的形状和轮廓随后令人满意。先天性耳垂横裂可通过真皮脂肪移植和去上皮瓣补充软组织缺损来矫正。
