中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2011年
3期
194-196
,共3页
真皮脂肪移植术%半侧颜面短小症%耳廓再造术%小耳畸形
真皮脂肪移植術%半側顏麵短小癥%耳廓再造術%小耳畸形
진피지방이식술%반측안면단소증%이곽재조술%소이기형
Dermal fat graft%Hemifacial microsomia%Auricular reconstruction%Microtia
目的 探讨外耳再造术的同时行真皮脂肪组织填充纠正轻度颜面短小症的新方法,评价其优缺点.方法 对28例小耳畸形合并轻度半侧颜面短小症的患者,采用一期耳后乳突区埋植扩张器,二期行自体肋软骨支架移植耳再造术,在耳再造的同时,利用供皮区剩余的真皮脂肪组织进行患侧面部填充纠正颜面部软组织发育不良,并与20例采用传统扩张法耳再造术的患者进行比较.结果 所有采用同期手术的患者在完成耳再造的同时,面部外观也得到明显改善,感染及支架外露各1例,发生率为7%(2/28),与传统组(5%,1/20)比较,差异无统计学意义(P>0.05).同期手术组患者对术后整体效果的满意率为93%(26/28),明显较传统组高(80%,16/20,P<0.05),患者及家属对手术效果均较满意.结论 在外耳再造的同时,利用废弃的真皮脂肪组织进行面部轻度畸形的矫正,效果良好.
目的 探討外耳再造術的同時行真皮脂肪組織填充糾正輕度顏麵短小癥的新方法,評價其優缺點.方法 對28例小耳畸形閤併輕度半側顏麵短小癥的患者,採用一期耳後乳突區埋植擴張器,二期行自體肋軟骨支架移植耳再造術,在耳再造的同時,利用供皮區剩餘的真皮脂肪組織進行患側麵部填充糾正顏麵部軟組織髮育不良,併與20例採用傳統擴張法耳再造術的患者進行比較.結果 所有採用同期手術的患者在完成耳再造的同時,麵部外觀也得到明顯改善,感染及支架外露各1例,髮生率為7%(2/28),與傳統組(5%,1/20)比較,差異無統計學意義(P>0.05).同期手術組患者對術後整體效果的滿意率為93%(26/28),明顯較傳統組高(80%,16/20,P<0.05),患者及傢屬對手術效果均較滿意.結論 在外耳再造的同時,利用廢棄的真皮脂肪組織進行麵部輕度畸形的矯正,效果良好.
목적 탐토외이재조술적동시행진피지방조직전충규정경도안면단소증적신방법,평개기우결점.방법 대28례소이기형합병경도반측안면단소증적환자,채용일기이후유돌구매식확장기,이기행자체륵연골지가이식이재조술,재이재조적동시,이용공피구잉여적진피지방조직진행환측면부전충규정안면부연조직발육불량,병여20례채용전통확장법이재조술적환자진행비교.결과 소유채용동기수술적환자재완성이재조적동시,면부외관야득도명현개선,감염급지가외로각1례,발생솔위7%(2/28),여전통조(5%,1/20)비교,차이무통계학의의(P>0.05).동기수술조환자대술후정체효과적만의솔위93%(26/28),명현교전통조고(80%,16/20,P<0.05),환자급가속대수술효과균교만의.결론 재외이재조적동시,이용폐기적진피지방조직진행면부경도기형적교정,효과량호.
Objective To evaluate the effect of auricular reconstruction and correction of mild hemifacial microsomia with dermal fat graft in one stage. Methods 28 cases with microtia and grade Ⅰ and Ⅱ hemifacial microsomia were treated. The tissue expander was implanted under the skin of mastoid at the first stage. At the second stage, the auricular reconstruction was performed with autologous rib cartilage framework. The remained dermal fat tissue from the donor site was inserted subcutaneously to correct the asymmetric face of microsomia. 20 cases, who underwent auricular reconstruction only, were used as control group. Results The facial asymmetry was greatly improved after operation in the 28 cases. The complications happened in 7% (2/28) of the patients, including one case of infection and one case of framework exposure. While it was 5% (1/20) in control group, showing no significant difference between the two groups (P >0. 05). The satisfactory rate was 93% (26/28) in one-staged group and 80% (16/20)in control group ( P < 0. 05 ). Conclusions The dermal fat graft which should be abandoned in the traditional auricular reconstructions could be used to correct mild hemifacial microsomia with satisfactory appearance improvement.
