CAJ | 학술논문

目的探讨临床应用扩张法全耳再造过程中出现耳后扩张皮瓣破溃,采用Brent Ⅰ期耳再造术作为补救方法的可行性.方法 8例扩张法全耳再造术的患者,在扩张器注水过程中发生耳后扩张皮瓣破溃,将扩张器取出,植入自体肋软骨支架,行Brent Ⅰ期耳再造术.结果 8例创口均一期愈合,扩张皮瓣血供良好,再造耳形态逼真,轮廓清晰,耳轮毛发少,其大小、形状、位置与面部协调,效果满意.结论 Brent Ⅰ期耳再造术是扩张法全耳再造过程中发生耳后扩张皮瓣破溃后的一种较好补救方法.
목적 탐토림상응용확장법전이재조과정중출현이후확장피판파궤,채용Brent Ⅰ기이재조술작위보구방법적가행성.방법 8례확장법전이재조술적환자,재확장기주수과정중발생이후확장피판파궤,장확장기취출,식입자체륵연골지가,행Brent Ⅰ기이재조술.결과 8례창구균일기유합,확장피판혈공량호,재조이형태핍진,륜곽청석,이륜모발소,기대소、형상、위치여면부협조,효과만의.결론 Brent Ⅰ기이재조술시확장법전이재조과정중발생이후확장피판파궤후적일충교호보구방법.
Objective To investigate the feasibility of Brent [ methods for total auricular reconstruction when expanded flap ulceration happened. Methods The expanded flaps in the retroauricular region ulcerated during total auricular reconstruction in 8 patients with microtia. Then the expanders were removed and autologous rib cartilage frameworks were implanted.Brent Ⅰ techniques for the total auricular reconstruction were employed.Results All the wounds in 8 patients with microtia healed primarily.The expanded flaps survived completely.The reconstructed ears had good shape and appearance with little hair. The size, shape and position of reconstructed ears were coordinated with the face.Conclusions Brent Ⅰ technique is an alternative method for total auricular reconstruction when the expanded flap ulceration occurs during total ear reconstruction.