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[三维自体软骨支架在耳廓再造中的构建与应用]

[Fabrication and application of three-dimensional autogenous cartilage framework in auricular reconstruction].

作者信息

Pan Bo, Jiang Hai-Yue, Zhuang Hong-Xing, Zhao Yan-Yong, Yang Qing-Hua, He Le-Ren, Han Juan, Wang Shu-Jie, Lin Lin

机构信息

Plastic Surgery Hospital, Chinese Acadamy of Medical Sciences, Beijing, China.

出版信息

Zhonghua Zheng Xing Wai Ke Za Zhi. 2009 May;25(3):161-4.

PMID:19803191
Abstract

OBJECTIVE

To explore the fabrication and application of three-dimensional autogenous cartilage framework in auricular reconstruction.

METHODS

The process of fabrication of three-dimensional cartilage framework consisted of cartilage harvesting, carving and assembling the cartilage. The rib cartilage was harvested separately. The three-dimensional framework was composed of three main parts:the helix, the base and the pad, at different layer. The framework was fabricated according to the development of rib cartilage and contour and height of the reconstructed ear.

RESULTS

From January 1992 to December 2006, 5,248 patients of microtia were treated with 6,252 autogenous cartilage frameworks.

CONCLUSIONS

The three-dimensional framework is easily manipulated. The reconstructed ears look natural and had an erect contour. This method can effectively use the cartilage.

摘要

目的

探讨三维自体软骨支架在耳廓再造中的制作及应用。

方法

三维软骨支架的制作过程包括软骨采集、雕刻及组装。分别采集肋软骨。三维支架由不同层次的三个主要部分组成:耳轮、耳基和耳垫。根据肋软骨的发育情况及再造耳的轮廓和高度制作支架。

结果

1992年1月至2006年12月,5248例小耳畸形患者接受了6252个自体软骨支架治疗。

结论

三维支架易于操作。再造耳外观自然,轮廓挺拔。该方法能有效利用软骨。

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