颅耳沟小切口微创手术治疗先天性隐耳畸形

发布时间：2018-02-13 14:07

本文关键词： 隐耳畸形微创小切口整形外科　出处：《中国修复重建外科杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的总结颅耳沟小切口微创手术治疗先天性隐耳畸形的疗效。方法 2011年1月-2015年5月收治先天性隐耳畸形8例,其中男6例,女2例;年龄5~13岁,平均10岁。单侧3例,双侧5例。13只隐耳均可用外力牵拉复位至正常大小形态及颅耳沟。于颅耳沟内设计长约3 cm弧形切口,并充分松解耳廓软骨与颅侧面、耳廓上部软骨间及软骨和皮肤之间的纤维粘连,游离颅侧面皮肤向颅耳沟推进修复创面缺损,术后纱布卷固定支撑耳廓3周。结果术后8例患者13只隐耳畸形均矫正满意;术后3周拆除支撑纱布卷后耳廓无回缩,形态正常。8例患儿均获随访,随访时间1~3年,平均1年6个月。耳廓外形无明显回缩。1例术后1周耳后皮肤部分坏死,为纱布卷偏大致皮肤长期受压缺血所致,去除纱布卷后换药愈合。结论颅耳沟小切口微创手术是治疗先天性隐耳畸形有效而简便的手术方法。
[Abstract]:Objective to summarize the curative effect of minimally invasive surgical treatment of congenital saphenous ear malformation with small incision in cranial ear sulcus. Methods from January 2011 to May 2015, 8 cases of congenital saphenous ear malformation were treated, including 6 males and 2 females, with a mean age of 10 years. In 5 cases, 13 ears could be reduced to normal size and cranial sulcus by external force. A 3cm arc incision was designed in the sulcus of the cranial ear, and the auricle cartilage and the lateral side of the skull were fully released. The fibrous adhesion between the upper auricle and between the cartilage and the skin, the free lateral skin of the skull pushed to the cranial ear groove to repair the defect of the wound, and the gauze coil fixed the auricle to support the auricle for 3 weeks. Results the correction of 13 saphenous ear deformities in 8 patients after operation was satisfactory. After 3 weeks removal of the supporting gauze, there was no retraction of the auricle, and 8 cases with normal shape were followed up for 1 ~ 3 years, with an average of 1 year and 6 months. There was no obvious retraction of the auricle in 1 week after operation. In order to induce long-term compression and ischemia of the skin of gauze roll, dressing change and healing after removal of gauze coil. Conclusion minimally invasive cranioauricular incision is an effective and simple method for the treatment of congenital saphenous ear malformation.
【作者单位】：漯河市中心医院(漯河医学高等专科学校第一附属医院)整形美容科;漯河市第六人民医院康复科;
【分类号】：R622;R764.9

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