Ferrara M M, Cervelli V, Bottini D J, Colicchia G, Masellis A
Division of Plastic Surgery and Burns Therapy, Ospedale Civico e Benfratelli, Palermo, Italy.
Ann Burns Fire Disasters. 2005 Mar 31;18(1):34-9.
Four cases are presented of severe face burn sequelae with mutilation of one or both pinnae, treated using osseointegrated epistheses. In the light of over 10 years' use of this technique, applied in other forms of anatomical deficits in the head such as congenital malformations, demolition owing to extensive neoplasias, and serious traumatic sequelae, it is recommended that burn patients should be carefully considered from both the psychological and the technical point of view. It is suggested that such patients should be analysed by a specific team consisting of a plastic surgeon, a psychologist, and a prosthetist who assess their expectations, analyse their actual reactions, and above all judge their degree of acceptance of an episthesis. A description is provided of the advantages of the technique, which is mainly indicated when the mutilated area presents a deficit of tissues capable of being reconstructed using traditional surgical techniques.
本文介绍了4例严重面部烧伤后遗症患者，其一侧或双侧耳廓毁损，采用骨整合假体进行治疗。鉴于该技术已应用超过10年，用于治疗头部其他形式的解剖缺陷，如先天性畸形、广泛肿瘤导致的破坏以及严重创伤后遗症，建议从心理和技术角度对烧伤患者进行仔细评估。建议由整形外科医生、心理学家和假肢矫形师组成的专业团队对这类患者进行分析，评估他们的期望，分析他们的实际反应，最重要的是判断他们对假体的接受程度。文中描述了该技术的优点，当毁损区域存在无法用传统手术技术重建的组织缺损时，该技术是主要的选择。
