先天性小耳畸形皮肤定量扩张耳廓再造和颞筋膜瓣听力重建序列治疗的围手术期护理

目的:总结先天性小耳畸形皮肤定量扩张耳廓再造和颞筋膜瓣听力重建序列治疗的围手术期护理经验,提高其治疗效果。方法:2010年1月～2011年12月对38例接受耳皮肤定量扩张耳廓再造和颞筋膜瓣听力重建序列治疗的先天性小耳畸形的患者进行围手术期护理观察。结果:38例患者术后再造耳廓形态逼真、立体感强;术后听力均有不同程度提高,未出现面瘫、眩晕、耳鸣等并发症,近期及远期随访患者无明显外耳道狭窄及远期听力下降。结论:皮肤定量扩张耳廓再造和颞筋膜瓣听力重建序列治疗是先天性小耳畸形的良好方法,加强围手术期护理对提高手术疗效具有重要作用。

Perioperative nursing of sequential auricle reconstruction of microtia using quantitative tissue expansion and temporal fascia flap

Objective To explore perioperative nursing of sequential auricle reconstruction of microtia using quantitative tissue expansion and temporal fascia flap.Methods From January 2010 to December 2011,careful nursing was proceeded to observe 38 microtia patients undergone with ear reconstruction and tympanoplasty.Results Thirty-eight patients of microtia were treated with aesthetic and functional reconstruction.The reconstructed ears had natural-looking contour.The hearing acuity was improved in various degrees.The complications such as facioplegia,spinning sensation,and tinnitus were none.There was no case of narrow or stenosis of external acoustic meatus in follow-up.Conclusions The sequence of ear reconstruction and acoustic reconstruction could provide anesthetic and functional result of microtia with aural atresia.Good nursing is the key factor of successful surgery.