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[外耳畸形的重建]

[Reconstruction of deformities of the external ear].

作者信息

Deutinger M, Mandl H, Holle J, Frey M, Freilinger G

机构信息

Abteilung für Plastische und Wiederherstellungschirurgie, II. Chirurgischen Universitätsklinik, Wien.

出版信息

Wien Klin Wochenschr. 1989 Jan 20;101(2):75-8.

PMID:2916342
Abstract

Microtia is a rare malformation. Reconstruction of microtia is not a routine operation because of its rarity of occurrence and the complex deformity. In this paper the indication for surgical treatment, technique, results and complications are discussed. Two different operation methods were used in our patients. A multiple-stage and a single-stage reconstruction procedure. We used autogenous rib cartilage. Five of the seven treated patients came to the follow-up examination. Reconstruction was performed 2 years ago in two cases and between 4 and 12 years ago in three cases. Our patients were content with the result in so far as they would be prepared to undergo treatment again. Carefully built rib framework is an essential prerequisite for a successful postoperative result. Microtia represents a greater psychological problem than a cosmetically imperfect result after reconstruction.

摘要

小耳畸形是一种罕见的畸形。由于其发病率低且畸形复杂,小耳畸形的重建并非常规手术。本文讨论了手术治疗的适应症、技术、结果及并发症。我们的患者采用了两种不同的手术方法。一种是多阶段重建程序,另一种是单阶段重建程序。我们使用了自体肋软骨。7例接受治疗的患者中有5例前来接受随访检查。2例患者于2年前进行了重建,3例患者于4至12年前进行了重建。我们的患者对结果感到满意,因为他们愿意再次接受治疗。精心构建的肋框架是术后取得成功结果的重要前提。小耳畸形所带来的心理问题比重建后外观上的不完美更为严重。

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