Medpor支架全耳郭再造术及支架外露原因分析

目的探讨Medpor支架行全耳郭再造的特点及全耳郭再造术后Medpor支架外露原因。方法对2000年4月至2002年10月,北京同仁医院收治的应用Medpor耳支架行全耳郭再造术的31例患者的临床资料进行回顾性分析。结果31例患者在Ⅰ期耳郭再造术后均形态较好,均于术后2周左右痊愈出院。随访结果发现有11例患者的耳郭支架发生不同程度的外露,其中8例经局部处理后痊愈,3例患者的耳郭支架取出。27例患者的耳郭形态逼真,达到很好美容效果。结论耳再造部位皮肤张力过大、皮瓣过薄或外力的作用是支架外露的主要原因。尽管Medpor耳支架外露率较高,但仍然是一种较好的软骨支架的替代材料。

Auricle Reconstruction by Medpor Framework and Reasons for the Framework Exposure

Objective To evaluate the features of auricle reconstruction by Medpor framework plantation, and to explore the reasons for framework exposure. Methods 31 cases of microtia, who had been treated by using the Medpor framework in Beijing Tongren Hospital during April 2000 to October 2002, were studied retrospectively. Results 31 cases were cured without any complications after one stage and all discharged after two weeks of the operation. The follow-up result showed that 11 cases had the framework exposed partially, among which 8 cases were treated locally, the other 3 cases' frameworks taken out. The auricle shape of 27 cases had good cosmetic result. Conclusion The main reason of framework exposure includ the skin tension?thin skin flap or the effect of external force. In spite of the high rate of framework exposure, Medpor framework is still a good substitute for the rib cartilage framework.