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使用 3D 扫描技术评估手术前耳部重建扩张方法的研究。

The Study of Using 3D Scan Technique to Evaluate the Expanding Method of Ear Reconstruction Before Operation.

机构信息

Plastic Surgery Department of Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.

Plastic Surgery Department of Wuhan Third Hospital, Wuhan, Hubei Province, China.

出版信息

Aesthetic Plast Surg. 2020 Apr;44(2):359-364. doi: 10.1007/s00266-019-01453-y. Epub 2019 Jul 22.

DOI:10.1007/s00266-019-01453-y
PMID:31332458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7075853/
Abstract

PURPOSE

Three-dimensional scanning technology was used to measure the expansion of the area and size of auricular skin to meet the normal standard of the external ear before ear reconstruction among microtia patients.

MATERIALS AND METHODS

The skin surface area of microtia patients was measured by three-dimensional scanner: the surface area (S), vertical length (A), vertical curve length (B), transverse length (C), transverse curve length data (D), and then taking the average. Corresponding measurements in healthy adults were also obtained: surface area (S), the vertical curve length (B), and transverse curve length (D) of the normal external ear were obtained by scanning normal adult male ears with reference to the range of the vertical length and the transverse straight length. Mean surface area (S and S), vertical curve length (B and B), and transverse curve length (D and D) were compared between microtia patients and healthy adults.

RESULTS

The surface area, vertical curve length, and transverse curve length were statistically significantly higher among healthy adults.

CONCLUSIONS

With the amount of expanded water injection of 120-130 ml, the expanded skin still does not reach the standard of the normal external ear in terms of skin surface area and size.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

摘要

目的

通过三维扫描技术测量小耳畸形患者外耳再造术前耳区皮肤扩张后的面积和尺寸,使其达到正常外耳的标准。

材料与方法

使用三维扫描仪测量小耳畸形患者的耳区皮肤表面面积:面积(S)、垂直长度(A)、垂直曲线长度(B)、横向长度(C)、横向曲线长度数据(D),然后取平均值。同时获取健康成年人的相应测量值:通过扫描正常成年男性耳朵,参照垂直长度和横向直线长度的范围,获取正常外耳的垂直曲线长度(B)和横向曲线长度(D)。比较小耳畸形患者与健康成年人之间的平均表面面积(S 和 S)、垂直曲线长度(B 和 B)和横向曲线长度(D 和 D)。

结果

健康成年人的表面面积、垂直曲线长度和横向曲线长度均显著更高。

结论

注水 120-130ml 扩张后,扩张皮肤的面积和尺寸仍未达到正常外耳的标准。

证据等级 IV:本期刊要求作者为每篇文章分配一个证据等级。有关这些循证医学评级的完整描述,请参考目录或在线作者指南 www.springer.com/00266。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee4f/7075853/99d1546daa2a/266_2019_1453_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee4f/7075853/7fcdd57fa518/266_2019_1453_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee4f/7075853/41daee60b5c3/266_2019_1453_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee4f/7075853/99d1546daa2a/266_2019_1453_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee4f/7075853/7fcdd57fa518/266_2019_1453_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee4f/7075853/41daee60b5c3/266_2019_1453_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee4f/7075853/99d1546daa2a/266_2019_1453_Fig3_HTML.jpg

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本文引用的文献

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2
Anthropometric measurements in 126 microtia reconstructions.126例小耳畸形再造手术中的人体测量
Facial Plast Surg. 2013 Aug;29(4):321-6. doi: 10.1055/s-0033-1349357. Epub 2013 Jul 24.
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[A comparative study of the skin expansion rate and instantly expanded skin retraction rate between implantation of double overlapping expanders and implantation of one single expander].
双重叠扩张器植入与单扩张器植入皮肤扩张率及即时扩张皮肤回缩率的对比研究
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Aesthetic Plast Surg. 2013 Jun;37(3):605-16. doi: 10.1007/s00266-013-0097-1. Epub 2013 Mar 22.
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Plast Reconstr Surg. 2000 Dec;106(7):1473-87. doi: 10.1097/00006534-200012000-00005.
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Technical advances in ear reconstruction with autogenous rib cartilage grafts: personal experience with 1200 cases.自体肋软骨移植耳再造的技术进展:1200例个人经验
Plast Reconstr Surg. 1999 Aug;104(2):319-34; discussion 335-8. doi: 10.1097/00006534-199908000-00001.
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