Firmin F
Clinique Georges Bizet, Paris.
Ann Chir Plast Esthet. 1995 Jun;40(3):252-63.
Reconstruction of an ear destroyed by burns raises several difficulties related to the presence of associated lesions. The essential element determining the indication for reconstruction is the possibility to cover a three dimensional cartilaginous graft with skin. Depending on the local condition of the skin, retroauricular skin, a temporal fascia flap or preliminary expansion may be indicated. Reconstruction should be performed when the chances of obtaining a good result are sufficient in a motivated patient. If these conditions are not satisfied, prosthesis should be proposed.
烧伤所致耳部毁损的重建面临一些与相关病变存在有关的困难。决定重建指征的关键因素是用皮肤覆盖三维软骨移植物的可能性。根据皮肤的局部情况，可采用耳后皮肤、颞筋膜瓣或预先扩张术。当有足够把握在有积极性的患者身上取得良好效果时，应进行重建。如果这些条件不满足，则应建议使用假体。
