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用于耳廓重建的新型低成本耳部抬高夹板

Novel, Low-cost Ear Elevation Splint for Auricular Construction.

作者信息

Chwa Emily S, Baltrusch Breanna, Claussen Erin, Allison Sophia, Shah Nikhil D, Yamada Akira

机构信息

From the Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.

Department of Prosthetics-Orthotics, Ann & Robert H. Lurie Children's Hospital, Chicago, Ill.

出版信息

Plast Reconstr Surg Glob Open. 2024 Nov 5;12(11):e6278. doi: 10.1097/GOX.0000000000006278. eCollection 2024 Nov.

DOI:10.1097/GOX.0000000000006278
PMID:39507307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11537565/
Abstract

Modern approaches to autogenous auricular reconstruction involve a multistage approach where ear elevation is an independent procedure. The goal is to project the reconstructed ear at an anatomically accurate and symmetric auriculocephalic angle, but postoperative scar contraction may adversely affect the long-term outcomes. An ear elevation splint was developed to provide rigid support for the auricle during the acute healing period to promote lasting elevation. The splint is low cost, made from commonly used orthotic materials, and can be conveniently customized for each patient in less than 15 minutes.

摘要

现代自体耳廓重建方法采用多阶段方法，其中耳部抬高是一个独立的步骤。目标是将重建的耳朵以解剖学上准确且对称的耳颅角突出显示，但术后瘢痕收缩可能会对长期效果产生不利影响。开发了一种耳部抬高夹板，以便在急性愈合期为耳廓提供刚性支撑，以促进持久的抬高。该夹板成本低，由常用的矫形材料制成，并且可以在不到15分钟的时间内为每个患者方便地定制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5708/11537565/ea80f7dbce19/gox-12-e6278-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5708/11537565/ccd37a15c8f5/gox-12-e6278-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5708/11537565/549e08f3ab8b/gox-12-e6278-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5708/11537565/d28343b1a515/gox-12-e6278-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5708/11537565/ea80f7dbce19/gox-12-e6278-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5708/11537565/ccd37a15c8f5/gox-12-e6278-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5708/11537565/549e08f3ab8b/gox-12-e6278-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5708/11537565/d28343b1a515/gox-12-e6278-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5708/11537565/ea80f7dbce19/gox-12-e6278-g004.jpg

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本文引用的文献

1
Demystifying Small Concha-type Microtia: Advancements in Classification and Surgical Approach.揭开小耳甲腔型小耳畸形的神秘面纱：分类与手术方法的进展
Plast Reconstr Surg Glob Open. 2022 Nov 18;10(11):e4586. doi: 10.1097/GOX.0000000000004586. eCollection 2022 Nov.
2
Systematic Review of Medpor Versus Autologous Ear Reconstruction.Medpor 与自体耳重建的系统评价。
J Craniofac Surg. 2022;33(2):602-606. doi: 10.1097/SCS.0000000000008130.
3
Evaluation of effectiveness of three-dimensional printed ear splint therapy following ear elevation surgery in microtia patients: A randomized controlled trial.
评价三维打印耳支架治疗小耳畸形患者耳后提升术后效果的随机对照试验。
J Craniomaxillofac Surg. 2020 Aug;48(8):786-791. doi: 10.1016/j.jcms.2020.06.003. Epub 2020 Jun 15.
4
Predictors for Unfavorable Projection of the Constructed Auricle following Ear Elevation Surgery in Microtia Reconstruction.耳后提升术在小耳畸形再造术中对构建的耳廓不良预测因素。
Plast Reconstr Surg. 2018 Apr;141(4):993-1001. doi: 10.1097/PRS.0000000000004234.
5
Autologous Rib Microtia Construction: Nagata Technique.自体肋软骨耳再造：永田技术。
Facial Plast Surg Clin North Am. 2018 Feb;26(1):41-55. doi: 10.1016/j.fsc.2017.09.006.
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Keloid and Hypertrophic Scars Are the Result of Chronic Inflammation in the Reticular Dermis.瘢痕疙瘩和增生性瘢痕是网状真皮层慢性炎症的结果。
Int J Mol Sci. 2017 Mar 10;18(3):606. doi: 10.3390/ijms18030606.
7
Dental impression compound as an effective splint for maintenance of ear elevation in microtia reconstruction.牙科印模膏作为小耳畸形重建中维持耳部抬高的有效夹板。
Indian J Plast Surg. 2013 Sep;46(3):518-20. doi: 10.4103/0970-0358.121999.
8
Mechanobiology of scarring.瘢痕的机械生物学。
Wound Repair Regen. 2011 Sep;19 Suppl 1:s2-9. doi: 10.1111/j.1524-475X.2011.00707.x.
9
Silicone Foley's catheter: A useful splint in ear surgeries.硅胶Foley导管：耳部手术中一种有用的夹板。
Indian J Plast Surg. 2008 Jan;41(1):51-4. doi: 10.4103/0970-0358.41111.
10
Auricular reconstruction for microtia: personal 6-year experience based on 350 microtia ear reconstructions in China.
Plast Reconstr Surg. 2009 Mar;123(3):849-858. doi: 10.1097/PRS.0b013e318199f057.