摘要
目的探讨扩张皮瓣法联合自体肋软骨支架修复外伤性耳缺损的临床效果。方法2008年8月至2010年8月，采用扩张皮瓣法联合自体肋软骨支架移植治疗外伤性外耳缺损患者10例，手术分2期，一期在局麻下行耳后50ml扩张器植入术，术后1周开始注水，平均注水60ml。二期行耳后扩张器取出、自体肋软骨支架移植、扩张皮瓣转移、中厚植皮、耳廓成形术。结果10例患者术后伤口均愈合良好，无并发症发生；均获6个月至2年随访，术后患者再造耳廓形态良好，外耳解剖结构清晰，位置、大小、形态与健侧基本一致。结论扩张皮瓣法联合肋软骨支架移植是修复外伤性耳缺损的一种可靠有效的方法。
Objective To investigate the therapeutic effect of retro-auricular expanded flap and cartilage graft for reconstruction of traumatic ear defect. Methods From Aug. 2008 to Aug. 2010, 10 cases of traumatic ear defects were treated with retro-auricular expanded flap and cartilage graft. The expanders （volume, 50 ml） were implanted subcutaneously at retro-auricular area on the first stage. Then the expansion began at 1 week after operation until the volume reached 60 ml. On the second stage, the ear defects were reconstructed with the expanded flaps, rib cartilage framework, as well as skin graft. Results All the wounds healed primarily without any complication. The patients were followed up for 6 months to 2 years with satisfactory cosmetic results. Good symmetry was achieved. Conclusions It is an effective and reliable method to reconstruct traumatic ear defect by retro-auricular expanded flap and cartilage graft.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2012年第4期267-269,共3页
Chinese Journal of Plastic Surgery
关键词
扩张皮瓣
耳廓再造术
支架
Expanded flap
Reconstruction of auricle
Frame
