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皮肤扩张器法在非常规皮肤条件者耳廓再造术中的应用

宋春琼 敖健飞

中华耳科学杂志2018,Vol.16Issue(1):36-37,2.
中华耳科学杂志2018,Vol.16Issue(1):36-37,2.DOI:10.3969/j.issn.1672-2922.2018.011.

皮肤扩张器法在非常规皮肤条件者耳廓再造术中的应用

Skin Expansion in Difficult Auricle Reconstruction

宋春琼 1敖健飞1

作者信息

  • 1. 北京市中关村医院整形美容外科,100190
  • 折叠

摘要

Abstract

Objective To report efficacy of skin expansion for auricle reconstruction in patients with mastoid area scar,previously failed auricle reconstruction,low hairline,or thick and less than flexible skin in the mastoid area.Meth-ods Confounding conditions in 12 patients with auricle defects included scar in the mastoid area(n=5,with 3 presenting with bilateral auricle defect from burns and 2 showing auricle defect by splitting force),previously failed auricle recon-struction(n=2),low hairline(n=2)and thick and less than flexible skin in the mastoid area(n=3).Skin expansion was applied in all 12 cases before auricle reconstruction.Results Among the 12 cases,expander protrusion and subsequent infection occurred in 1 patient with left auricle defect from a splitting injury due to problematic blood supply to the ex-panded skin flap.The exposed expander was removed and the wound healed following local wound care.The second skin expansion and auricle reconstruction was successful six months after the primary operation.Ear reconstruction in the rest 11 cases (12 reconstructions) was successful and uneventful. Conclusion Skin expansion can be successfully used for auricle reconstruction even under difficult conditions such as scar in the mastoid area.

关键词

皮肤扩张器法耳廓再造术/瘢痕性外耳缺损

Key words

Skin Expansion technique/Difficult Auricle Reconstruction/Acquired Auricle Defect

分类

医药卫生

引用本文复制引用

宋春琼,敖健飞..皮肤扩张器法在非常规皮肤条件者耳廓再造术中的应用[J].中华耳科学杂志,2018,16(1):36-37,2.

中华耳科学杂志

OA北大核心CSCDCSTPCD

1672-2922

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