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1985年以来我院对8例耳廓缺损采用自体肋软骨、颞浅岛状筋膜瓣行一期耳廓成形术,效果满意,报告如下。临床资料8例均为先天性耳廓畸形。其中5例仅残存耳垂,3例有小耳甲腔及健耳1/3大,向下卷曲的杯状耳。男6例,女2例。左侧5例,右侧3例。8例一期成形术耳廓全部存活,仅1例因术中颞筋膜表面的小血管支有损伤,耳廓后面有1.5×1.5cm 皮色发黑坏死,无感染,经二期植皮,耳廓外形未受影响。
Since 1985, 8 cases of auricular defect in our hospital using self-cost cartilage, temporal island fascia flap a line of auricle angioplasty, the results are satisfactory, the report is as follows. 8 cases of clinical data are congenital auricular deformity. Of the 5 cases, only the ear lobe was remnant, and 3 cases had a small concha cavity and one third of the maxillofacial eyelid, downward curled goblet ears. 6 males and 2 females. Left in 5 cases, right in 3 cases. All of the 8 cases of primary auricular auricle survived, only 1 case due to the small blood vessels on the surface of the temporal fascia damage, a 1.5 × 1.5cm behind the pinna skin necrosis, no infection, the second stage of skin grafting, Ear shape is not affected.