中华耳科学杂志Issue(4)：496-498,3.DOI:10.3969/j.issn.1672-2922.2013.04.006
先天性小耳畸形耳后埋置扩张器后并发症的防治
Prevention and Treatment of Complications from Post-Auricular Tissue Expanders in Patients with Congenital Microtia
摘要
Abstract
Object To study prevention and management of complications caused by the tissue expander used behind the ear in patients with congenital microtia. Methods We reviewed data from patients with congenital microtia treated from June 1st 2012 to May 31st 2013 with post-auricular tissue expanders. A total of 368 expanders were used in 353 patients. Complications included necrosis of expanded post-auricular skin flaps (n=14), hematoma (n=5), infections (n=4), and rup-ture of wound (n=4). Timely intervention was implemented and included debridement, profuse irrigation and re-suturing of the wound with drains and follow up wound care. Results The Stage II procedure was not delayed in the 5 patients with hemato-ma after debridement. Skin expansion was extended by 7-10 days before Stage II procedure in the 4 patients with local infec-tion and the 4 patients with wound rupture. All complications had resolved before Stage II procedure after timely and appropri-ate treatment. Conclusion Complications caused by the post-auricular tissue expander are common. Choice of appropriate op-erative techniques, careful post-operative observation and timely management can help reduce complications and consequenc-es, and ensure successful treatment.关键词
扩张器/并发症/耳廓再造Key words
Expander/complication/ear reconstruction分类
医药卫生引用本文复制引用
尚巧利,何乐人,林琳,杨庆华,周佳宇,蒋海越..先天性小耳畸形耳后埋置扩张器后并发症的防治[J].中华耳科学杂志,2013,(4):496-498,3.基金项目
十二五国家科技支撑计划项目（2012BAII2B00）；首都卫生发展科研项目（2011-4004-01）；国家自然科学基金 （）
