［ 背景］ 耳郭再造方法多种多样．［ 病例报告］１９９８ 年４ 月收治１ 例双耳烧伤缺损患者．先做耳后皮肤扩张器植入术，扩张完毕后，掀起皮瓣和筋膜瓣，将雕塑的软骨支架植入于两瓣之间．术后皮瓣因远端血运障碍而坏死、软骨支架外露，经过适当处理后愈合．再造另一侧耳时注意到皮瓣血运问题，没有出现并发症．［ 讨论］ 应为皮肤扩张提供足够的皮瓣以利于包裹软骨支架、显露外形，手术效果令人满意． [Background] There are many ways to rebuild ears. [Case Report] In April 1998, one patient with bilateral bile defects was admitted. After the ear skin dilator implantation, expansion is completed, setting off the flaps and fascia flap, the sculpture of the cartilage stent implanted in between the two. Postoperative flap necrosis due to distal blood supply disorders, cartilage scaffold exposed, after appropriate treatment healed. Reclaim the other side of the ear to note the flap blood supply problems, no complications. [Discussion] Should provide adequate skin flap expansion in favor of wrapping cartilage stent, reveal the shape, the operation results are satisfactory.