目的：介绍一种一次性修复外伤后部分耳廓缺损的方法。方法：以耳廓缺损缘为蒂形成耳后推进皮瓣，取自体肋软骨雕刻成片状支架与缺损缘拼接，形成耳后筋膜瓣覆盖支架后侧，联合肋软骨供区全厚皮片移植一次性修复部分耳廓缺损。结果：临床应用8例，缺损一次性修复，双侧耳对称，外形满意。结论：联合应用以缺损缘为蒂的耳后推进皮瓣及自体肋软骨移植技术可一次性修复外伤性部分耳廓缺损，具有治疗周期短、效果可靠的特点。%Objective To introduce the method of one stage repair of part auricle defect post-injury with advancement skin flap post aurem associated with costal cartilage transplantation. Methods Firstly an advancement skin flap post aurem was produced which pedicle was located in the defect edge of auricle.and then an autogenous costal cartilage graft was obtained and carved to a schistic frame which was jointed to the defect edge of auricle. The posterior surface of the frame was cover with post aurem fascial flap and full thick skin graft from donor site of costal cartilage. Results Eight cases were applied with the method and the defects were one-stage repaired with satisfying symmetrical auricle shapes. Conclusion The method can restore part auricle defect by one stage which means short treatment period and reliable therapeutic effect.
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