使用组织扩张器和自体软骨进行小耳畸形重建的十年经验。
Ten-year experience in microtia reconstruction using tissue expander and autogenous cartilage.
作者信息
Jiang Haiyue, Pan Bo, Lin Lin, Cai Zhen, Zhuang Hongxing
机构信息
Plastic Surgery Hospital, Peking Union Medical College, Badachu Road 33, Beijing, People's Republic of China.
出版信息
Int J Pediatr Otorhinolaryngol. 2008 Aug;72(8):1251-9. doi: 10.1016/j.ijporl.2008.05.006. Epub 2008 Jun 24.
OBJECTIVE
Ear reconstruction is a complex multi-staged procedure in otology. A variety of surgical strategies have been devised for the reconstruction. In this paper, we present our 10-year experience in microtia reconstruction using tissue expander and autogenous cartilage in microtia reconstruction.
METHODS
The process of our method is divided into three stages. In the first stage, the kidney-shape tissue expander was implanted subcutaneously. With 1 month of inflation, the tissue expander offered the non-hairbearing and well-vascularized skin. In the second stage, we improved the technique of cartilage fabrication and used an expanded two-flap envelope to erect framework. In the third stage, the tragus and concha were reconstructed.
RESULTS
3332 patients have undergone ear reconstruction using tissue expander and autogenous cartilage from 1996 to 2006. The follow-up study showed the satisfactory contour of the reconstructed ears.
CONCLUSIONS
Techniques using tissue expander and autogenous cartilage in microtia reconstruction was easily done and the complications were rare.
目的
耳部重建是耳科学中一项复杂的多阶段手术。人们已经设计出了多种手术策略用于重建。在本文中，我们介绍了我们在使用组织扩张器和自体软骨进行小耳畸形重建方面的10年经验。
方法
我们的方法过程分为三个阶段。在第一阶段，将肾形组织扩张器皮下植入。经过1个月的注水扩张，组织扩张器提供了无毛且血运良好的皮肤。在第二阶段，我们改进了软骨制作技术，并使用扩张的双叶皮瓣来搭建框架。在第三阶段，重建耳屏和耳甲。
结果
1996年至2006年期间，3332例患者接受了使用组织扩张器和自体软骨的耳部重建手术。随访研究显示重建耳的外形令人满意。
结论
在小耳畸形重建中使用组织扩张器和自体软骨的技术操作简便，并发症罕见。
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