先天性小耳畸形二期法耳廓再造术在中国人中的应用
周栩;王悦;章庆国;刘暾;谢洋春;胡金天;钱瑾;王冰清;程琳
【期刊名称】《中华耳鼻咽喉头颈外科杂志》 【年(卷),期】2015(050)003
【摘要】Objective Based on the different physiological characteristics of the mastoid skin and soft tissue of Chinese congenital microtia malformation,the Nagata two-stage method was respectively applied for ear reconstruction,and the clinic experience were investigated in this study.Method According to the mastoid skin and soft tissue difference in the thickness and tightness,280 patients diagnosed with congenital microtia were divided into four types:thin and tight,thin and loose,thick and tight,thick and loose type.90 cases of thin and loose type accepted the Nagata method of ear reconstruction surgery.Results With average 7.8 months follow up,84.4% (76/90)cases using Nagata two-stage method were satisfied with the outcome of the reconstructed ear including three dimensional position and subunit appearance.There were no postoperative complication related to chest wall deformity or affected normal physical function.Conclusions The Nagata two-stage method is appropriate management choice for Chinese congenital microtia.Based on the different physiological characteristics of the mastoid skin and soft tissue,the selection of different operational should be beneficial to the ear reconstruction of Chinese congenital