耳廓离断的显微再植与修复  

Replantation of auricles after complete separation

作　　者：赵东升[1] 赵景志 闫宝山[1] 唐加义[1] 陆俊峰[1] 吴晓满[1] 张智[1] 

机构地区：[1]解放军第309医院创伤显微外科,北京100091 [2]解放军河南省军区直属医院,河南郑州450000

出　　处：《临床军医杂志》2012年第1期26-27,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨耳廓离断伤的显微外科再植和修复方法。方法回顾1990年以来8例耳廓离断伤,采用显微再植、寄养再植、皮瓣转移重建等方法进行修复。结果术后随访12～32个月,耳廓再植成活6例,原位再植及寄养再植各失活1例,后经皮瓣修复重建耳廓2例全部成活,所有病人均在术后7～10 d拆线,伤口一期愈合,耳廓皮肤感觉恢复,听力正常。结论对耳廓离断损伤患者,引入超显微外科技术,采用更为精细的血管吻合技术是最理想的修复方法。Objective To explore the methods of replanting auricles after complete separation.Methods The clinical data of hospitalized patients since 1900 were reviewed.The methods include replantation through microsurgery,temporary ectopic implantation,and flap transfers,et al.Results The follow-up was 12 to 32 months.Satisfactory healing was found in 6 cases in the group of replantation through microsurgery.Inactivation happened in two cases after in situ replantation and temporary ectopic implantation respectively and successful survived after flap reconstruction.All patients were removed the stitches after 7～10d,operative incisions were primary healing.The replanted shapes recovered satisfactorily with normal hearing.Conclusion Replantation through microsurgery deserves to be widely used to treat auricles after complete separation.

关 键 词：耳廓 再植术 显微外科 

分 类 号：R764.81[医药卫生—耳鼻咽喉科]