[摘要]目的：探讨缝卷软骨瓣法矫正招风耳畸形的手术效果及体会。方法：本组共11例招风耳畸形患者，均行缝卷软骨瓣法，在耳后上部设计一3cm左右的弧形切口，距耳轮0.5cm处按标记线纵行2个切口切开耳软骨，将耳软骨潜行向下分离，形成耳软骨瓣，并在耳软骨瓣外侧面行多个小切口，在没有张力情况下将软骨瓣翻转缝合成软骨管形成正常的对耳轮及对耳轮脚。结果：本组患者11例（18只耳）术后随防3～12个月，耳廓形态均稳定满意。结论：缝卷软骨瓣法是矫正招风耳畸形简单有效的方法之一。

[关键词]招风耳;先天性畸形;软骨瓣;耳整形;外耳

[中图分类号]R622    [文献标志码]A    [文章编号]1008-6455（2020）08-0010-03

Correction of Protruding Ears with Sutured Cartilage Flap

LIU Ming-sheng

（Department of Plastic and Aesthetic Surgery，Heze Municipal Hospital，Heze 274031，Shandong，China）

Abstract： Objective  Evaluation of the surgical effect and surgical experience sharing of the suture-rolled cartilage flap method for correcting the protruding ears. Methods  There were 11 cases of tympanic malformation， all patients were sutured with rolled cartilage flap， a 3cm arc incision was made on the upper part of the ear. Cutted the ear cartilage in two longitudinal incisions at a distance of 0.5cm from the ear wheel according to the marked line， and separate the ear cartilage stealthly downward to form the ear cartilage flap. Cartilage flap reversal seam synthesizes cartilage tube to form normal anti-helix and anti-helix feet. Results  11 patients （18 ears） in this group were followed for 3 to 12 months after operation， and the auricle shape was stable and satisfactory. Conclusion  The stitched cartilage flap method is one of the simple and effective methods to correct the ear deformity.

Key words： protruding ear; congenital malformation; cartilage flap; ear plastic surgery; external ear

招风耳是门诊常见的先天性耳部畸形，主要是由胚胎期耳轮形成不全或耳甲软骨过度发育引起的。招风耳畸形有一定的遗传性，常见于双侧，主要表现为耳廓上半部分扁平，正常的耳部结构不明显或者消失。主要是耳轮及耳轮脚消失，耳甲与耳舟间的角度增大一般大于150°，严重者可达180°。耳廓与头颅呈90°角，与颅骨的间距增大。目前有很多招风耳的手术矫正方法，均取得了不错的手术效果。自2012年-2019年，笔者科室采用缝卷软骨瓣法矫正中重度招风耳畸形，取得了满意疗效。

1  临床资料

本组共11例招风耳畸形患者，7例为双侧，共18只畸形耳，男性3例，女性8例，年龄16～26岁，平均20岁，手术方法均采用耳后切口缝卷软骨瓣法矫正。

2  手术方法

术前首先标记出皮肤及软骨切口，方法是用食指及拇指将耳……