Huang ZhengHua, Li Qi
Department of Otorhinolaryngology, Children's Hospital of Nanjing Medical University, Jiangsu, PR China.
Department of Otorhinolaryngology, Children's Hospital of Nanjing Medical University, Jiangsu, PR China.
Int J Pediatr Otorhinolaryngol. 2022 Jun;157:111144. doi: 10.1016/j.ijporl.2022.111144. Epub 2022 Apr 14.
To explore the clinical effect of tragal remnant flap for congenital tragal malformation in children.
The clinical data of 23 children with congenital tragal malformation hospitalized in our department from May 2017 to May 2021 were retrospectively reviewed.
Congenital tragal malformation has various names and clinical manifestations. It is a kind of rare congenital auricle malformation, which can exist alone or in combination with other malformations. About 78.3% of the children with congenital tragal malformation had a natural tragal remnant flap; The rest of the children without tragal remnant flap were repaired by skin flap＆cartilage reconstruction method (SFC-RM). For the depressed deformity around the tragus, the cartilage and fascia tissue around the tragus were used for filling. The overall effect was satisfactory.
Most children with congenital tragal malformation have natural tragal remnant flap. Tragal remnant flap reconstruction method (TRE-RM) not only has shorter operation time, less trauma, faster healing，fewer complications, but also can obtain more natural tragus appearance.
探讨耳屏残余皮瓣修复儿童先天性耳屏畸形的临床效果。
回顾性分析2017年5月至2021年5月在我科住院的23例先天性耳屏畸形患儿的临床资料。
先天性耳屏畸形有多种名称及临床表现，是一种少见的先天性耳廓畸形，可单独存在或合并其他畸形。约78.3%的先天性耳屏畸形患儿有天然耳屏残余皮瓣；其余无耳屏残余皮瓣的患儿采用皮瓣联合软骨重建法（SFC-RM）修复。对于耳屏周围凹陷畸形，采用耳屏周围软骨及筋膜组织填充。总体效果满意。
多数先天性耳屏畸形患儿有天然耳屏残余皮瓣。耳屏残余皮瓣重建法（TRE-RM）不仅手术时间短、创伤小、愈合快、并发症少，而且能获得更自然的耳屏外观。
