van Hogezand R M, Smit A L, Breugem C C
Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, Heidelberglaan 100, PO Box 85500, 3508 GA Utrecht, the Netherlands.
Department of Plastic Reconstructive and Hand Surgery, Amsterdam UMC, Emma Children’s Hospital, Location AMC, University of Amsterdam, Room G4.225, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands.
JPRAS Open. 2021 Feb 9;28:37-42. doi: 10.1016/j.jpra.2021.01.011. eCollection 2021 Jun.
Infection after reconstructive surgery for microtia is a technical challenge. This can be a sign of cholesteatoma formation by entrapment of epithelium in the middle or outer ear, specifically when the patient does not respond to first choice antibiotic therapy and debridement. Two patients with microtia presented themselves with severe infections after ear reconstruction. In both cases cholesteatoma was diagnosed as the cause of the infection. After cholesteatoma management an additional surgical procedure was necessary to improve the esthetic outcome. The plastic surgeon should identify possible signs of cholesteatoma after reconstruction of the auricle.
小耳畸形重建手术后的感染是一项技术挑战。这可能是中耳或外耳上皮组织陷入导致胆脂瘤形成的迹象，特别是当患者对首选抗生素治疗和清创无反应时。两名小耳畸形患者在耳部重建后出现严重感染。在这两个病例中，胆脂瘤被诊断为感染原因。在处理胆脂瘤后，需要进行额外的手术以改善美学效果。整形外科医生在耳廓重建后应识别胆脂瘤的可能迹象。
