Isshiki N
Department of Plastic Surgery, School of Medicine, Kyoto University, Japan.
Clin Plast Surg. 1990 Apr;17(2):263-72.
Modifications of Tanzer's technique of total reconstruction of the auricle are described, emphasizing the construction of a deep conchal cavity and pseudomeatus, with ample projection of the auricle. To obtain a more prominent projection of the auricle, a transposition flap from retroinfra-auricular skin is used, with placement of small cartilage props beneath the framework. The depth of the conchal cavity is enhanced by excavation of soft tissues and placement of an additional cartilage graft at the posterior wall of the choncha. The external meatus is imitated by a cone-shaped composite graft taken from the cymba of the opposite ear.
本文描述了对坦泽耳廓全重建技术的改良，重点在于构建一个深的耳甲腔和假外耳道，使耳廓有充足的突出度。为获得更突出的耳廓突出度，采用耳后下皮肤的转位皮瓣，并在支架下方放置小软骨支柱。通过软组织切除和在耳甲后壁放置额外的软骨移植片来加深耳甲腔的深度。用取自对侧耳舟的锥形复合移植片模拟外耳道。
