Researchstatus of prevention and treatment of complications after expander postauricular flap for microtia
International Journal of Surgical Research
昆明医科大学 云南昆明 ;
microtia is one of the major birth defects in our country. Auricle rereconstruction is the most reliable method to repair microtia. The soft tissue expansion method is to place the soft tissue expander into the normal subcutaneous or muscular layer through surgery, and provide sufficient skin soft tissue through the expander to repair large tissue defects or reserve appropriate space for tissue filling and prosthesis placement. With the extensive application of this technique in plastic surgery, the soft tissue expansion technique has become a mature operation for the treatment of microtia. Auricle rereconstruction with skin expansion method can not only solve the problems such as lack of skin tissue, blood supply expander of flap and reduction of scar in auricle reconstruction, but also show better and clearer auricle subunits with more vivid shape, which has become one of the main auricle subunitssurgical methods at home and abroad. However, in clinical work, it is often found that there are a variety of complications after the first stage surgery, common hematoma, infection, expanderexposure, etc, which seriously affect the second and third stage auricle reconstruction. This article reviews the causes and prevention measures of complications after implantation of primary expanderin auricle reconstruction with expander postauricular flap method, in order to provide reference for clinical standard treatment.
microtia; expander postauricular flap; Complications; Prevention and Treatment