Zhang Zhigang, Zheng Yiqing
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013 Jul;27(13):688-90.
Auricular deformity, a common disease of the external ear in China, can be divided into congenital deformity and acquired deformity caused by trauma or ablative origin. Ear reconstruction with autogenous rib cartilage grafts provides consistent emotional relief and psychological benefits due to the repair. However, autogenous reconstruction is complex and challenging, and can be fraught with complications, in addition sometimes it may not be an option for the patients with poor skin cover, severe craniofacial anomalies, those with microtia who have had a failed previous reconstruction and microtia patients with a very low hairline and residual lobe. As an alternative to the significant surgical morbidity of autogenous reconstruction, osseointegrated implant reconstruction has several distinct advantages. This current essay was to illustrate the superiority, indications, feasibility and complications of osseointegrated implant reconstruction, and provide alternative way to help patient who was deprived of ear(s).
耳廓畸形是我国常见的外耳疾病，可分为先天性畸形以及由外伤或切除性病因导致的后天性畸形。采用自体肋软骨移植进行耳再造，修复后能持续缓解患者的情绪问题并带来心理益处。然而，自体再造手术复杂且具有挑战性，可能会出现诸多并发症，此外，对于皮肤覆盖不良、严重颅面畸形、先前再造失败的小耳畸形患者以及发际线极低且有残余耳垂的小耳畸形患者而言，有时并非可行选择。作为自体再造手术高并发症风险的替代方案，骨整合种植体再造具有若干显著优势。本文旨在阐述骨整合种植体再造的优越性、适应症、可行性及并发症，为耳部缺失患者提供替代方法。
