中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (38): 7217-7220.doi: 10.3969/j.issn.1673-8225.2011.38.045

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

自体肋软骨支架复合乳突区皮肤扩张再造耳郭46例

於国军，封必钊，王光军，王一兵   

  1. 淮安市第一人民医院烧伤科，江苏省淮安市   223300
  • 收稿日期:2011-06-07 修回日期:2011-08-09 出版日期:2011-09-17 发布日期:2011-09-17
  • 作者简介:於国军，男，1975年生，江苏省淮安市人，汉族，扬州医学院毕业，主治医师，主要从事烧伤及医学整形临床及基础研究。 myhcsh@ 163.com

Expanded mastoid area flap and rib cartilage framework for auricle reconstruction in 46 cases

Yu Guo-jun, Feng Bi-zhao, Wang Guang-jun, Wang Yi-bing   

  1. Department of Burn, First People’s Hospital of Huaian City, Huaian  223300, Jiangsu Province, China
  • Received:2011-06-07 Revised:2011-08-09 Online:2011-09-17 Published:2011-09-17
  • About author:Yu Guo-jun, Attending physician, Department of Burn, First People’s Hospital of Huaian City, Huaian 223300, Jiangsu Province, China myhcsh@163.com

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388

被引次数

4

摘要：

背景：耳郭支架再造可供选择的材料较多，总体分为人工合成材料及自体组织两种，但各有利弊。
目的：回顾性分析自体肋软骨支架并乳突区皮肤扩张耳郭重建后的临床效果及并发症发生情况。
方法：选择淮安市第一人民医院烧伤整形科进行人工耳郭再造的患者46例，入院后行乳突区皮肤扩张，采用自体肋软骨支架耳郭再造，乳突区皮瓣转移覆盖的方法进行耳郭再造，观察再造效果及再造后并发症发生情况。
结果与结论：46例患者均获得满意耳郭再造效果，耳郭形态逼真，耳颅角清晰。患者治疗后3个月，再造侧耳颅角、耳郭长度及耳郭高度同健侧比较，差异无显著性意义(P > 0.05)。患者治疗后3个月及1年再造耳耳颅角、耳郭长度及耳郭高度比较差异无显著性意义(P> 0.05)。提示乳突区皮肤扩张肋软骨支架耳郭再造安全性高，能够取得较好的再造效果。

关键词: 耳郭再造, 自体肋软骨, 皮肤扩张, 乳突区, 并发症

Abstract:

BACKGROUND: There are many materials for auricle reconstruction that are mainly divided into two kinds: artificial materials and autologous tissues with their own advantages and disadvantages.
OBJECTIVE: To retrospectively analyze the clinical effect and complications of auricle reconstruction with rib cartilage and expanded mastoid area flap.
METHODS: Forty-six patients who would receive auricle reconstruction were selected in Department of Burn, the First People’s Hospital of Huaian City. Auricle reconstruction was taken with rib cartilage framework that was coved with expanded mastoid area flap. Effect and complications of operations were observed.
RESULTS AND CONCLUSION: All operations succeed in 46 cases. In all the patients, appearance of auricle was vivid, oto-cranial angle was limpid and effect of operation was satisfactory. Three months after operation, the difference was indistinctive in oto-cranial angle, length and height of auricle between reconstruction auricle and uninjured side auricle (P > 0.05). These indexes had no difference between 3 months and 1 year after operation (P > 0.05). It is indicated that expanded mastoid area flap and rib cartilage framework for auricle reconstruction has a higher safety and better operative effects.

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