Meyer R, Pellegrini P
Centre de Chirurgie Plastique, Losanna, Svizzera.
Acta Otorhinolaryngol Ital. 1993 Mar-Apr;13(2):115-30.
In the treatment of unilateral microtia, most authors give precedence to external reconstruction, neglecting a middle ear surgery. On the other hand, in bilateral microtia more importance is given to the functional component which has to be dealt with before a child begins his school career in order to facilitate optimal harmonious psychophysical development. One author in particular has been attempting to solve the problem in its entirety, for more than 20 years. In the last years, thanks to the close collaboration with otologists, results which confirm the existing hypothesis have been obtained. This was possible because plastic reconstruction was done before the functional procedure and also because of improvement in surgical techniques of the latter. Thus it appears that collaboration between both specialists is basically mandatory. Authors tend to aim for complete aesthetic and functional solution in bilateral microtia as well. However in these cases, external reconstruction has to performed before a child begins his school cancer.
在单侧小耳畸形的治疗中，大多数作者优先考虑外耳重建，而忽视中耳手术。另一方面，在双侧小耳畸形中，功能性部分更为重要，必须在儿童开始上学之前加以处理，以促进最佳的身心和谐发展。特别是有一位作者在过去20多年里一直在试图全面解决这个问题。近年来，由于与耳科医生的密切合作，已获得证实现有假设的结果。这之所以成为可能，是因为在进行功能性手术之前先进行了整形重建，也因为后者手术技术的改进。因此，两位专家之间的合作似乎基本上是必不可少的。作者们也倾向于在双侧小耳畸形中寻求完全的美学和功能解决方案。然而，在这些情况下，外耳重建必须在儿童开始上学之前进行。
