Song Y G, Leng T J, Chen G Z, Lu X
Br J Plast Surg. 1985 Apr;38(2):259-63. doi: 10.1016/0007-1226(85)90060-8.
The rational treatment of severe microtia or anotia should be to restore not only the form but also the auditory function of the ear. To achieve this aim it is obvious that plastic surgeons must co-operate closely with an otologist: yet this degree of co-operation is seldom seen. This paper describes a two-stage procedure for total ear reconstruction with auditory function. In stage I, a tympanoplasty is performed before transplantation of the carved cartilage framework. Stage II consists of elevation of the reconstructed auricle and transplantation of a full-thickness skin graft to the post-auricular defect. Certain modifications of the operative techniques that we have found useful are discussed in detail.
严重小耳畸形或无耳畸形的合理治疗应不仅恢复耳部形态,还应恢复其听觉功能。显然,为实现这一目标,整形外科医生必须与耳科医生密切合作:然而,这种合作程度很少见。本文描述了一种用于全耳再造并恢复听觉功能的两阶段手术方法。第一阶段,在移植雕刻好的软骨框架之前进行鼓室成形术。第二阶段包括掀起再造耳廓并将全厚皮片移植到耳后缺损处。我们详细讨论了一些我们认为有用的手术技术改良方法。