From the Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai JiaoTong University School of Medicine.
Plast Reconstr Surg. 2022 Jul 1;150(1):157e-167e. doi: 10.1097/PRS.0000000000009257. Epub 2022 May 17.
Effective handling of auricular complications after the first stage of autologous cartilage microtia reconstruction remains one of the most demanding challenges for plastic surgeons. Here, the authors discuss relevant details for treatment of such complications in various conditions.
A total of 1739 microtia patients underwent the first stage of auricular reconstruction with autogenous costal cartilage between 2007 and 2019. Different complications occurred in 136 cases. The details of complications are described, and relevant tactics for appropriate prevention and treatment are introduced.
Selective methods for the management of different complications in a prompt and effective manner after the first stage of ear reconstruction have been shown to salvage and maintain the contour of the reconstructed auricle to the maximum extent.
Auricular complications can be well treated and prevented through careful preoperative preparation, meticulous intraoperative manipulation, and proper postoperative management.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
自体软骨耳廓再造一期术后耳廓并发症的有效处理仍然是整形外科医生面临的最具挑战性的问题之一。在此，作者讨论了各种情况下处理这些并发症的相关细节。
2007 年至 2019 年间，共有 1739 例小耳畸形患者接受了自体肋软骨耳廓再造一期手术。136 例患者出现不同程度的并发症。本文详细描述了并发症的情况，并介绍了相应的预防和治疗策略。
一期耳再造术后及时、有效地选择处理不同并发症的方法，可以最大限度地挽救和保持再造耳廓的形态。
通过仔细的术前准备、精细的术中操作和适当的术后管理，可以很好地治疗和预防耳廓并发症。
临床问题/证据水平：治疗，IV。
