Jain Shraddha, Kumar Pramod, Bariar L M
Unit of Plastic and Reconstructive Surgery, Department of Surgery, J.N. Medical College, A.M.U., Aligarh, (U.P) India.
Indian J Otolaryngol Head Neck Surg. 2002 Jul;54(3):188-92. doi: 10.1007/BF02993100.
The Auricular deformity of congenital microtia (Grade-llll can cause devastating physical and psychological trauma in children. liven crude duplications of the normal ear are of great emotional value to the child or adult who is horn with only a nubbin. Diverse materials ranging from altografts (polyethylene, nylon mesh. Teflon. Silicone,etc), cartilage homo and hcterografts haw been tried for framework construction of the ear. Converge (1985) and Tanzer (1959) popularized the use of autogenous rib cartilage, carved in a solid block. We describe our experience with autogenous costal cartilage graft as framework for total auricular reconstruction in 13 patients (15 ears) with congenital microlia(grade-lll). Atresia repair was performed in two patients. with bilateral grade-Ill deformity.
先天性小耳畸形（四级）的耳廓畸形会给儿童造成严重的身心创伤。即使是正常耳朵的粗糙复制品，对于天生只有一小截残耳的儿童或成人来说也具有极大的情感价值。从异体移植物（聚乙烯、尼龙网、特氟龙、硅胶等）、软骨同种异体移植和异种移植等多种材料都已被尝试用于耳部框架构建。康弗（1985年）和坦泽（1959年）推广了使用整块雕刻的自体肋软骨。我们描述了我们用自体肋软骨移植作为框架对13例（15耳）先天性小耳畸形（三级）患者进行全耳廓重建的经验。对2例双侧三级畸形患者进行了耳道闭锁修复。
