全扩张法治疗小耳畸形术后并发症防治的研究现况-国际外科研究杂志-科学评价数据库

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全扩张法治疗小耳畸形术后并发症防治的研究现况

Researchstatus of prevention and treatment of complications after expander postauricular flap for microtia

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DOI	10.12208/j.ijsr.20220090
刊名	国际外科研究杂志 International Journal of Surgical Research
年，卷(期)	2022, 5(4)
作者	陈思锦,王继华*,张诗琴,张景波,汤婷,张伯俊,李姝蓉,
作者单位	昆明医科大学云南昆明 ; 昆明医科大学第二附属医院整形外科云南昆明 ; 昆明医科大学云南昆明 ; 昆明医科大学第二附属医院整形外科云南昆明 ; 昆明医科大学第二附属医院整形外科云南昆明 ; 昆明医科大学第二附属医院整形外科云南昆明 ; 昆明医科大学第二附属医院整形外科云南昆明 ;
摘要	先天性小耳畸形是我国体表重大出生缺陷之一，目前耳廓再造术是修复小耳畸形最可靠的方法。软组织扩张技术是通过手术将软组织扩张器置入正常皮下或肌层下，通过扩张器不断扩张从而提供充分的皮肤软组织来修复较大的组织缺损或为组织填充、假体置入预留适当的空间。随着该技术在整形外科的广泛应用，应用软组织扩张技术治疗先天性小耳畸形已成为一种较成熟术式。皮肤扩张法耳再造术不仅很好地解决了耳廓再造术皮肤组织量不足、皮瓣血供障碍、减少瘢痕等问题，同时再造耳廓亚单位显示更佳清晰，形态更佳逼真，成为国内外主要的耳再造手术术式之一。但在临床工作中，经常发现在一期术后出现多种并发症，常见的有血肿、感染、扩张器外露等，严重影响二期、三期耳再造。现围绕全扩张法耳再造术一期扩张器埋置术后易出现的并发症出现的原因及防治措施进行综述，以期能为临床规范治疗提供参考。 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.
关键词	小耳畸形；全扩张法耳再造；并发症；预防与治疗 microtia; expander postauricular flap; Complications; Prevention and Treatment
基金项目
页码	1-4

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