扩张法修复效果不佳的再造耳 |
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引用本文: | 刘暾,周栩,韩雪峰,胡金天,王悦,钱瑾,章庆国.扩张法修复效果不佳的再造耳[J].组织工程与重建外科,2014,10(5):263-265. |
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作者姓名: | 刘暾 周栩 韩雪峰 胡金天 王悦 钱瑾 章庆国 |
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作者单位: | 中国医学科学院整形外科医院 |
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基金项目: | 国家自然科学基金项目(81300863,81372085);协和青年基金资助和中央高校基本科研业务费专项资金(3332013091). |
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摘 要: | 目的介绍一种新的扩张法外耳再造术,应用于外耳再造术后外形不佳的患者。方法从2010年7月至2012年4月,共收治7例外耳再造术后外形不佳患者。手术分为两期:一期取出耳支架,同时行扩张器置入术。二期取出扩张器,植入耳支架。结果 7例全部成功,切口均一期愈合。术后随访6~30个月,再造耳凹凸感明显,耳廓亚单位表达清晰。结论扩张两期法修复形态不佳的再造耳,安全、稳定、创伤少,可以再造出外形良好的耳廓。
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关 键 词: | 小耳畸形 外耳再造 扩张法 |
A Novel Two-stage Expansion Method for Secondary Total Ear Reconstruction |
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Authors: | LIU Tun ZHOU Xu HAN Xuefeng HU Jintian WANG Yue QIAN Jin ZHANG Qingguo |
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Institution: | Ear Reconstruction Center, PUMC & CAMS Plastic Surgery Hospital |
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Abstract: | Objective To introduce a novel two-stage expansion method for secondary total ear reconstruction. Methods From July 2010 to April 2012, 7 cases with undesirable reconstructed ears were repaired by tissue expansion method. Procedures including stage 1 (removal of previous cartilage framework, tissue expander insertion) and stage 2 (removal of tissue expander, cartilage framework insertion regarding local conditions). Results The follow up ranged from 6 months to 2.5 years. All the eases were well recovered with good three-dimensional forms, symmetrical auriculo-cephalic angle and stable fixation. Conclusion This novel expansion method is safe, stable and less traumatic for secondary total ear reconstruction. With sufficient expanded skin flap and re-fabricated cartilage framework, lifelike appearance of reconstructed ear could be acquired without causing additional injury. |
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Keywords: | Microtia Ear reconstruction Tissue expansion method |
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