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急性烧伤耳部的处理

Management of the acutely burned ear.

作者信息

Goel T K, Law E J, MacMillan B G

出版信息

Burns Incl Therm Inj. 1983 Jan;9(3):218-21. doi: 10.1016/0305-4179(83)90042-6.

DOI:10.1016/0305-4179(83)90042-6
PMID:6403203
Abstract

One hundred patients with burns of the ears were reviewed. Most had second-degree burns and did well. Loss of the external ear occurred in 15 patients, or 22 ears, due to the presence of very deep burn with full thickness injury. Chondritis developed in nine ears (5 per cent) with severe destruction of the ear in 8. Pseudomonas aeruginosa is an especially destructive organism to cartilage and was associated with all our cases of chondritis. Progression of deformity and development of infection can be minimized by avoidance of pressure, regular cleansing and application of topical antibiotics. Careful debridement and skin grafting of any third-degree burn areas are required and should be carried out as soon as possible.

摘要

对100例耳部烧伤患者进行了回顾性研究。大多数患者为二度烧伤,恢复情况良好。15例患者(共22只耳朵)出现外耳缺失,这是由于存在深度全层烧伤所致。9只耳朵(5%)发生了软骨炎,其中8只耳朵出现了严重的耳部破坏。铜绿假单胞菌是一种对软骨具有特别破坏性的微生物,与我们所有软骨炎病例都有关联。通过避免受压、定期清洁和局部应用抗生素,可将畸形进展和感染的发生降至最低。对于任何三度烧伤区域,都需要进行仔细的清创和植皮,并且应尽快实施。

相似文献

1
Management of the acutely burned ear.急性烧伤耳部的处理
Burns Incl Therm Inj. 1983 Jan;9(3):218-21. doi: 10.1016/0305-4179(83)90042-6.
2
The burned ear (II): A prospective clinical study of 100 patients with 150 ear burns.烧伤耳(二):100例患者150只耳烧伤的前瞻性临床研究
Ann Acad Med Singap. 1992 Sep;21(5):605-11.
3
A pressure prevention device for burned ears.一种用于烧伤耳部的压力预防装置。
J Burn Care Rehabil. 1992 Nov-Dec;13(6):673-7.
4
Chondritis of the burned ear: a preventable complication.烧伤耳部的软骨炎:一种可预防的并发症。
Am J Surg. 1986 Sep;152(3):257-9. doi: 10.1016/0002-9610(86)90252-7.
5
Suppurative chondritis: its incidence, prevention, and treatment in burn patients.化脓性软骨炎:烧伤患者中的发病率、预防及治疗
Plast Reconstr Surg. 1988 Aug;82(2):267-76.
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Epidemiology and Outcomes of Auricular Burn Injuries.
J Burn Care Res. 2018 Apr 20;39(3):326-331. doi: 10.1097/BCR.0000000000000586.
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Chondritis in the burned ear.
Plast Reconstr Surg. 1968 Aug;42(2):115-22. doi: 10.1097/00006534-196808000-00003.
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The acute surgical management of injury to the helix and antihelix in patients with large body surface area burns.
J Plast Reconstr Aesthet Surg. 2009 Aug;62(8):1020-4. doi: 10.1016/j.bjps.2008.01.010. Epub 2008 Jun 11.
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Antibiotic iontophoresis in the management of burned ears.抗生素离子导入法治疗耳部烧伤
J Burn Care Rehabil. 1992 Jul-Aug;13(4):407-9. doi: 10.1097/00004630-199207000-00004.
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Costal chondritis: an unusual complication in the burned patient.肋软骨炎:烧伤患者的一种罕见并发症。
J Trauma. 1973 Jan;13(1):76-80.

引用本文的文献

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Creating a re-expanded prefabricated island flap constructed with an anastomosed vascular pedicle for burned ear reconstruction: a case report.构建带吻合血管蒂的再扩张预制岛状皮瓣用于烧伤耳再造:1例病例报告
Ann Transl Med. 2022 Nov;10(22):1253. doi: 10.21037/atm-22-1427.
2
New Concept for Severely Burned Ear Reconstruction: Grafting of the Frame Using Banked Ear Cartilage Combined with Costal Cartilage.严重烧伤耳再造的新概念:使用保存的耳软骨联合肋软骨进行框架移植。
Plast Reconstr Surg Glob Open. 2021 Feb 17;9(2):e3058. doi: 10.1097/GOX.0000000000003058. eCollection 2021 Feb.