摘要
目的:总结出一种能最大限度获取耳软骨,但不破坏外耳形状,不遗留明显瘢痕和并发症的方法。方法:选择2010年7月～2013年7月行鼻整形术供区耳软骨切取患者共55例,30例患者同时行耳甲腔和耳屏软骨切取。15例患者仅行耳甲腔软骨切取。均为单侧,左右耳随机可选。取耳甲腔软骨行对耳屏后内侧切口,保留耳廓支撑结构,完整取出软骨,勿损伤软骨膜。取耳轮软骨行耳屏内侧切口,保留新月形软骨板游离部分。结果:45例受术者术后耳廓伤口一期愈合,无血肿感染等并发症。随访6个月～1年。供区无明显可见瘢痕,耳廓及耳屏形态无明显改变。取材区可见有部分新生软骨生长。结论:切取耳甲腔软骨时使用对耳屏后内侧的小切口,注意保留完整的软骨膜,以利于软骨再生。切去耳轮软骨时使用耳轮内侧缘切口,保留新月形软骨板游离缘。术后瘢痕隐蔽,外耳形状不受影响。
Objiective To summarize the method of taking auricular cartilage maximally without auricle shape destroy, obvious scar and complications. Methods From July, 2010 to July, 2013, 55 cases with corrective rhinoplasty of cutting auricular cartilage were chosen. At the same time, 30 cases were treated with cutting auricular cartilage of cavity of auricular concha and antilobium. 15 cases were treated with only cutting of auricular cartilage of cavity of auricular concha. The inside incision was done after antitragus on cavity cartilage with the integrity of auricle structure and without perichondrium injury. The cases were all treated on one side of auricular cartilage, either on left or right side. The inside incision was done on antitragus of auricle cartilage remaining the free part of struction of crescent cartilage plate. Result The 55 cases cured with no complication of hematoma and infection. In six months to one year's flow-up, there were no visible scar and no visible transformation of auricle and antitragus. Some new cartilage was found. Conslusion The cuting of the inside incision antitragus should be little in cutting auricular cartilage of cavity of auricular concha with perichondrium integrity to make sure the reconstruction of cartilage. There is no visible transformation the structure of external ear and antitragus. The operation leaves secret cicatrices, without the influence of auricle structure.
出处
《中国医疗美容》
2013年第3期57-59,共3页
China Medical Cosmetology
关键词
耳软骨
鼻整形术
供区
Auricular cartilage
Corrective rhinoplasty
Donor site
