本文選題：小耳畸形　切入點(diǎn)：擴(kuò)張術(shù)　出處：《昆明醫(yī)科大學(xué)》2017年碩士論文

【摘要】：[目的]探討耳后皮膚充分?jǐn)U張法施行耳再造的可行性和臨床效果。[方法]采用耳后皮膚擴(kuò)張法對(duì)2015年1月至2017年3月間55例先天性小耳畸形患者實(shí)施手術(shù)治療。手術(shù)共分為三期進(jìn)行,第一期手術(shù):在耳后皮膚埋置50-80ml擴(kuò)張器,術(shù)后一周開始注水?dāng)U張,每周注水1-2次,每次3-5ml,擴(kuò)張時(shí)間為3-4個(gè)月,注水總量為90-110ml;第二期手術(shù):選用自體骨制作支架,切取對(duì)側(cè)胸部第6,7,8或6,7肋軟骨制作三維耳支架,用擴(kuò)張好的耳后皮瓣包裹,持續(xù)負(fù)壓吸引耳廓成型;第三期手術(shù):進(jìn)行耳垂轉(zhuǎn)位,加深外耳道,完成耳廓再造。[結(jié)果]從2015年1月至2017年3月用耳后皮膚擴(kuò)張法完成小耳畸形耳廓再55例,隨訪6個(gè)月-2年,5例出現(xiàn)擴(kuò)張器外露、感染及耳軟骨外露效果不佳外,50例效果滿意,再造的耳廓位置、大小、角度、外形與對(duì)側(cè)耳廓基本對(duì)稱。[結(jié)論]耳后皮膚充分?jǐn)U張耳再造的方法,能提供包裹耳支架所需要的皮膚,耳后不用再植皮,可達(dá)到簡(jiǎn)化手術(shù)的目的,術(shù)后再造耳廓色澤形態(tài)自然,能獲得很好的效果。
[Abstract]:[objective] to investigate the feasibility and clinical effect of the method of full expansion of retroauricular skin for ear reconstruction. [methods] 55 cases of congenital microauricular malformation from January 2015 to March 2017 were treated with retroauricular skin dilatation. The operation was divided into three phases, The first stage operation: the 50-80ml expander was implanted in the skin behind the ear, and the water injection was started one week after the operation. The first stage was 3 to 5 ml per week, the time of expansion was 3-4 months, the total water injection was 90-110 ml; the second stage operation: autogenous bone was used to make the stent. The third stage of operation was performed by transposition of the ear lobe to deepen the external auditory canal, and the third stage of operation was to make three-dimensional auricular scaffold by cutting the 6 ~ (7) or 6 ~ (7) costal cartilage of the contralateral chest, and wrap it with an expanded posterior ear flap to attract the auricle into shape continuously under negative pressure. [results] from January 2015 to March 2017, 55 cases of auricle deformity were performed with retroauricular skin dilatation, and 5 cases were followed up for 6 months to 2 years. The position, size, angle and shape of the reconstructed auricle are basically symmetrical with those of the contralateral auricle. [conclusion] the method of fully expanding and reconstructing the auricle behind the ear can provide the skin needed to wrap the scaffold of the ear, without the need of the skin graft behind the ear. It can simplify the operation, and can obtain good results.
【學(xué)位授予單位】：昆明醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R764.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 蘇法仁;丁靜華;薄琳;;皮膚軟組織擴(kuò)張術(shù)在外耳再造中的應(yīng)用[J];中國(guó)耳鼻咽喉頭頸外科;2009年09期

2 黃立;何林;胡瑩;唐泓波;陳安民;;Medpor支架與肋軟骨支架法耳廓再造的比較與分析[J];中國(guó)美容醫(yī)學(xué);2009年02期

，

本文編號(hào)：1664022