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全耳廓缺损,以先天畸形为最常见、其次是外伤.由于类型繁多和耳廓形态复杂、治疗难度大.自1984年2月～1994年2月,用二期全耳廓再造术修复52例,共56只外耳缺损.再造耳全部成活.肤色接近正常,耳廓大小、高低和颅面角标志大致相称,有立体感.经1～9年随诊观察,耳廓结构和形态稳定者38例39只再造耳.现就手术方法和有关问题进行介绍和讨论.1 资料与方法1.1 一般资料 52例中男40例,女12例,年龄7～22岁,其中7～9岁47例,占90.4%;外耳缺损左侧23例,右侧25例.双侧缺损4例.1. 2 病因及类型 先天畸形48例,烧伤2例,外伤2例.全耳廓缺损46例,耳廓大部分缺损6例.外耳道完全闭锁46例,外耳道发育不全2例,外耳道和中耳正常者4例.
Full ear defects, congenital malformations are the most common, followed by trauma. Due to the wide range of types and auricle complex, difficult to treat. From February 1984 to February 1994, with a total ear reconstruction of 52 Cases, a total of 56 external ear defects. Reconstruction of the ear all survived. Skin color close to normal, auricle size, height and craniofacial angle generally approximate, with three-dimensional .After 1 to 9 years of follow-up observation, auricle structure and morphological stability 38 cases of 39 reconstruction ear now on the surgical methods and related issues are introduced and discussed.1 Materials and Methods 1.1 General Information 52 cases of male 40 cases, 12 females, aged 7 to 22 years old, of which 47 cases of 7 to 9 years , Accounting for 90.4%; the left outer ear defect in 23 cases, the right side in 25 cases. Bilateral defect in 4 cases .1.2 etiology and types of congenital malformation in 48 cases, 2 cases of burn, trauma in 2 cases. Contour of most of the defect in 6 cases. Complete external ear canal atresia in 46 cases, 2 cases of external auditory canal hypoplasia, external auditory canal and middle ear normal in 4 cases.