CAJ | 학술논문

目的探讨骨整合义耳修复全耳廓缺损的远期疗效.方法回顾性分析中山大学附属第二医院耳鼻咽喉头颈外科自2002年1月至2005年12月行骨整合义耳修复耳廓缺损患者62例(63耳),随访5～8年,中位随访时间6.5年.就其固位义耳种植体的稳定性、脱出率,种植体周围组织感染,配戴义耳时间和外观满意度,义耳更换频率和周期及有无全身并发症进行分析.结果 63耳一次全部治愈,义耳形态逼真,配戴稳定,色泽自然.63耳均出现种植体与周围组织感染,但对种植体稳定性无影响.63耳126颗种植体一次植入成活稳定,有4颗种植体脱出都为外伤所致.所有63耳配戴义耳时间超过8 h/d.义耳更换中位时间3.0年,主要原因是义耳褪色和撕裂.无全身及颅内并发症.结论骨整合义耳安全可靠,长期效果稳定,是全耳廓缺损修复可选择的方法.
목적 탐토골정합의이수복전이곽결손적원기료효.방법 회고성분석중산대학부속제이의원이비인후두경외과자2002년1월지2005년12월행골정합의이수복이곽결손환자62례(63이),수방5～8년,중위수방시간6.5년.취기고위의이충식체적은정성、탈출솔,충식체주위조직감염,배대의이시간화외관만의도,의이경환빈솔화주기급유무전신병발증진행분석.결과 63이일차전부치유,의이형태핍진,배대은정,색택자연.63이균출현충식체여주위조직감염,단대충식체은정성무영향.63이126과충식체일차식입성활은정,유4과충식체탈출도위외상소치.소유63이배대의이시간초과8 h/d.의이경환중위시간3.0년,주요원인시의이퇴색화시렬.무전신급로내병발증.결론 골정합의이안전가고,장기효과은정,시전이곽결손수복가선택적방법.
Objective To evaluate the long-term therapeutic effects of repairing the whole auricular defects with osseointegrated prosthetic ears. Methods From January 2002 to December 2005, 62 patients (63 ears) with the whole auricular defects were treated with osseointegrated prosthetic ears and followed up for 5- 8 years (median 6.5 years) after operations. In all cases, the following items were analyzed: stability and dislocation rate of the implants fixing prosthetic ears, infection of tissues surrounding implants, time and appearance satisfaction of wearing prosthetic ears, rate and time length of replacement of prosthetic ears, and presence of systemic complications or not. Results All 63 ears were healed with one surgery, with the appearances of life like shapes, stable fixation, and natural color. Infection of implants and their surrounding tissues occured in all cases, but didn't influence the stability of the implants. All 126 implant particles in 63 ears survived after one surgery, execpt that 4 implant particles were dislocated by trauma. In all cases, the time of wearing prosthetic ears was more than 8 hours per day. Because of color fading and breakage, average time length of replacement of prosthetic ears was 3.0 years. There were no intracranial or systemic complications. Conclusions Osseointegrated prosthetic ears can be used in the treatment of the patients with the whole auricular defects, because of its safety and reliability, the stability of long-term therapeutic effects, and the good satisfaction of the patients.