中华耳科学杂志Issue(4)：506-510,5.DOI:10.3969/j.issn.1672-2922.2013.04.009
八大处法耳廓再造二期手术并发症的处理
The Treatment for Stage 2 Postoperative Complications of Ear Reconstruction with Ba Da Chu Method
摘要
Abstract
Objective To explore the treatment of stage 2 postoperative complications of ear reconstruction with Ba Da Chu Method. Method Review the ear reconstruction surgery with Ba Da Chu Method we performed during the last two years. All the postoperative complications of stage 2 surgery included the following 5 kinds:1, hematoma under skin flap;2, the unhealthy blood circulation at the edge of skin flap;3, partial necrosis of skin graft;4, the framework exposure( a, light;b, severe);5, the infection of cartilage framework. The corresponding treatment methods were described as follows:1, clearing away the hematoma;2, using external used medicine helping wound cure;3, cleaning the invalid tissue and using external used medicine helping raw area cure;4a, disposing the exposed cartilage and suturing the incision directly. 4b, repairing the exposed part with axis superficial temporoparietal fascia flap,transplanting skin graft covering the raw area; 5,draining the pus and washing the cavity with anti infectine agents. Result We performed 953 ear reconstruction surgeries with Ba Da Chu Method for 903 cases, male 508, female 395, left 304, right 549, bilateral 50, aged from 5.5 to 55.4 years, median age 10.2 years. the follow-up period from 1 to 18 months, average 6 months. 1, hematoma under skin flap, 5 ears (incidence rate 0.52%) were cured completely in all cases;2, the unhealthy blood circulation at the edge of skin flap, 26 ears (incidence rate 2.73%), were cured completely in all cases;3, partial badness of skin graft, 35 ears (incidence rate 3.67%), were cured com-pletely in all cases; 4, exposure of cartilage framework, 11ears (incidence rate 1.15%), light 8 ears(0.83%),severe 3 ears (0.32%), were cured with little damage of the new ears;5, the framework infection, 3 ears (incidence rate 0.32%). 1 ear were cured completely, while the shape of 2 ears distorted seriously. Conclusion The common complications post stage2 surgery of ear reconstruction with Ba Da Chu Method were unhealthy blood circulation at the edge of skin flap and partial badness of skin graft (6.41%), which were cured with external used medicine and didn’t damage the shape of reconstructed ears; The se- vere complications was cartilage framework exposure( 1.15%),which needed to be treated with operation and had mild dam- age to the new ears; The disastrous complications was cartilage infection, which damaged seriously the new ears; the complica- tions needing to deal with urgently was hematoma, which(0.32%) didn’t influence the proceeding and outcome of the whole surgery.关键词
八大处法耳廓再造/二期手术/并发症Key words
Ear reconstruction with Ba Da Chu Method/Stage 2 surgery/Complications分类
医药卫生引用本文复制引用
何乐人,林琳,王永振,蒋海越,杨庆华,尚巧利,马辰浩,宋晓冬..八大处法耳廓再造二期手术并发症的处理[J].中华耳科学杂志,2013,(4):506-510,5.基金项目
首都临床特色应用研究（小耳畸形耳廓再造术标准模式的构建Z12110700102111）；院所基金重大项目（先天性小耳畸形序列化治疗标准模式的构建）；十二五国家科技支撑计划项目 （）
