CAJ | 학술논문

应用耳后扩张皮瓣及多孔高密度聚乙烯支架行儿童全耳廓再造
응용이후확장피판급다공고밀도취을희지가행인동전이곽재조
Reconstruction of auricle with expansive skin flap and Medpor framework in childhood

万方数据

中华医学美学美容杂志中華醫學美學美容雜誌 중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2008年 2期 85-87 ,共3页

张本寿%林子豪%季健%赵跃中%郑翔%徐志久%魏福堂%水祥兵%许良标%贾凌%邓云

장본수%림자호%계건%조약중%정상%서지구%위복당%수상병%허량표%가릉%산운

全耳廓再造术%耳后皮肤扩张皮瓣%多孔高密度聚乙烯支架全耳廓再造術%耳後皮膚擴張皮瓣%多孔高密度聚乙烯支架
전이곽재조술%이후피부확장피판%다공고밀도취을희지가
Auricle reconstruction%Expanded skin flap%Medpor support

目的探讨儿童先天性小耳畸形采用耳后扩张皮瓣及多孔高密度聚乙烯(Medpor)支架做全耳廓再造的方法和效果.方法对30例年龄5～16岁先天性小耳畸形患者,采用耳后皮肤扩张及Medpor支架法行全耳廓再造术.结果 30例皆获成功,再造耳廓肤色正常,形态与位置与健侧基本对称.但其中11～16岁组的5例中,有2例扩张的皮瓣面积略有不足,需另以小块局部筋膜瓣和皮片移植补充;而5～10岁组的25例,扩张的皮瓣面积皆足以包裹整个Medpor支架,无需另外植皮.结论本术式的手术时机选择最好在10岁以前,一是避免患儿因小耳畸形受到社会讥讽造成的心理创伤,二是耳廓发育已接近成熟,耳后皮肤扩张皮瓣面积已足敷再造之需.
목적 탐토인동선천성소이기형채용이후확장피판급다공고밀도취을희(Medpor)지가주전이곽재조적방법화효과.방법 대30례년령5～16세선천성소이기형환자,채용이후피부확장급Medpor지가법행전이곽재조술.결과 30례개획성공,재조이곽부색정상,형태여위치여건측기본대칭.단기중11～16세조적5례중,유2례확장적피판면적략유불족,수령이소괴국부근막판화피편이식보충;이5～10세조적25례,확장적피판면적개족이포과정개Medpor지가,무수령외식피.결론 본술식적수술시궤선택최호재10세이전,일시피면환인인소이기형수도사회기풍조성적심리창상,이시이곽발육이접근성숙,이후피부확장피판면적이족부재조지수.
Objective To study the methodology and results of the auricle repair with expanded skin flap in mastoid process area and Medpor support in children with congenital malformation.Methods Thirty cases of congenital malformation were enrolled with age ranged from 5～16 years old.Whole auricles were all reconstructed with an expanded skin flap in mastoid process area and Medpor support.Resuits In all successful cases.their repaired auricles had the natural complexion and profile,and the positions were symmetric with healthy one,but in 2 cases(age group of 11-16 years),the expanded skin flap had less skin grafting.Conclusion It is suggested that optional operation time might be selected before 10 years old,because their psychological trauma could be avoided owing to microtia and in that age the size of the expanded flap is larger enough to reconstruct the ear as their auricle iS well-developed.