中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (16): 3029-3032.doi: 10.3969/j.issn.1673-8225.2011.16.043

• 生物材料临床实践 clinical practice of biomaterials • 上一篇    下一篇

仿真材料的赝复法修复耳郭部分缺损

王  凯1, 2,董明敏1   

  1. 1郑州大学第一附属医院耳鼻咽喉科,河南省郑州市450052
    2上海市曲阳医院耳鼻咽喉科,上海市200092
  • 收稿日期:2010-12-30 修回日期:2011-03-07 出版日期:2011-04-16 发布日期:2011-04-16
  • 通讯作者: 董明敏,博士,教授,博士生导师,郑州大学第一附属医院耳鼻咽喉科,河南省郑州市450052 dmment@163.com
  • 作者简介:王凯☆,男,1968年生,郑州大学第一临床医院在读博士,河南省人,副主任医师,主要从事窥镜微创治疗、鼾症及口臭防治及义耳骨合种植及五官缺损修复。 drwangkai@126.com

Prosthetic reconstruction of simulation materials for the treatment of partial microtia

Wang Kai1, 2, Dong Ming-min1   

  1. 1Department of Otolaryngology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China
    2Department of Otolaryngology, Shanghai Quyang Hospital, Shanghai  200092, China
  • Received:2010-12-30 Revised:2011-03-07 Online:2011-04-16 Published:2011-04-16
  • Contact: Dong Ming-min, Doctor, Professor, Doctoral supervisor, Department of Otolaryngology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China dmment@163.com
  • About author:Wang Kai☆, Studying for doctorate, Associate chief physician, Department of Otolaryngology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China; Department of Otolaryngology, Shanghai Quyang Hospital, Shanghai 200092, China drwangkai@126.com

摘要:

背景:耳郭畸形的治疗方法包括义耳赝复、肋软骨植入、Madpor支架植入及骨合种植等,但利弊各异,效果上各有优劣。
目的:采用仿真材料的赝复法治疗部分耳郭缺损患者,并评估其赝复效果。
方法:选用部分耳郭缺损的小耳畸形患者2例,根据耳郭缺损的情况,以双组份室温固化硅橡胶制作出赝复体,借助医用黏合剂固定赝复体至缺损部位。分别在不同光线、距离和环境下评估赝复效果以及患者自身满意度。
结果与结论:纳入的2例部分耳郭缺损患者经赝复法治疗后其耳郭可达到良好视觉效果。赝复法治疗部分缺损的小耳畸形患者,方法简单无需手术,可重复性好,易于维护。自然光线下,室外赝复物肉眼分辨距离低于1.5 m时,患者表现出较高满意度。

关键词: 小耳畸形, 硅橡胶假体, 评估, 耳郭, 软组织构建

Abstract:

BACKGROUND: The treatment of microtia including prosthetic ear prosthesis, costal cartilage insertion, Madpor scaffold implanted into bone joint planting, but the pros and cons is different, and its effect also has advantage and disadvantage.
OBJECTIVE: To evaluate the prosthetic effect on the treatment of partial microtia with prosthetic reconstruction of simulation materials.
METHODS: Two cases with partial microtia were selected. According to the defect of auricle, the prosthesis was made by two-component cold curing silastic, the prosthesis was fixed to the defect with medical adhesive. The aesthetic outcomes and patient's own satisfaction were evaluated under different light, distance and environment.
RESULTS AND CONCLUSION: The auricle can achieve good visual effects after treatment of prosthetic reconstruction in 2 cases with partial microtia. Prosthetic treatment of partial defects in microtia patients, its method is simple without surgery, good repeatability and easy maintenance. When the prosthesis cannot be identified beyond 1.5 meters at daytime, the patients showed preferable satisfaction. 

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