扩张法全耳再造皮瓣破溃后的处理  

Management after expanded flap ulceration during auricular reconstruction

作　　者：李旭文[1] 章庆国[2] 谢洋春[2] 刘暾[2] 周栩[2] 韩雪峰[2] 

机构地区：[1]安徽蚌埠医学院第一附属医院整形外科,233004 [2]中国医学科学院整形外科医院

出　　处：《中华整形外科杂志》2012年第1期16-18,共3页Chinese Journal of Plastic Surgery

摘　　要：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BrentI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BrentI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BrentI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。Objective To investigate the feasibility of Brent I 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.

关 键 词：耳廓再造术 外科皮瓣 

分 类 号：R782[医药卫生—口腔医学] R622[医药卫生—临床医学]