Objective: To investigate the effect and satisfaction of using the postauricular tongue-shaped flap combined with deep fascia suspension in correcting severe cup ear malformation. Methods: Between August 2018 and November 2019, nine cases (10 ears) of Tanzer type Ⅲ severe cup ear malformation were treated with postauricular tongue-shaped flap combined with deep fascia suspension in this study. Results: Nine cases primary healed without hematoma, infection or skin necrosis, except one case with postoperative incision dehiscence. The cup ear deformity was significantly improved after the operation, the helix was intact, and the anti-helix was visible. The length, width, and circumference of the auricle were significantly enlarged three months following surgeries. There were no other complications except 1 patient recurrence 12 months after surgery. The patients were highly satisfied with the results of the surgery. Conclusions: Although the aesthctic of the reconstructed auricle is insufficient, this new technology makes full use of the autologous auricle tissue to correct severe cup ear malformation with good results.
目的： 探讨耳后舌形皮瓣联合深筋膜悬吊技术矫治重度杯状耳畸形的效果和满意度。 方法： 回顾性分析2018年8月至2019年11月复旦大学附属眼耳鼻喉科医院采用耳后舌形皮瓣联合深筋膜悬吊法一期治疗的9例（10耳）重度杯状耳畸形患者的临床资料，探讨其术后效果和患者满意度。 结果： 除1耳术后出现切口局部裂开，经换药后愈合，其余9耳一期愈合。术后杯状耳畸形明显改善，耳轮完整，对耳轮可见。术后3个月时比较耳廓长度、宽度和周长，较术前都有显著增大。全部病例术后无感染、血肿、皮瓣坏死等并发症。术后随访12个月，1例耳廓下垂复旧，其余形状稳定，切口处无明显瘢痕增生。术后3~12个月随访，患者及家属对矫形手术结果满意度均在80%以上。 结论： 耳后舌形瓣联合深筋膜悬吊技术治疗重度杯状耳畸形，充分利用自体耳廓组织一期完成手术，整体效果良好，给患者提供了新的选择。.