烧伤后全耳缺损Ⅰ期再造术

One-stage reconstruction of postburn whole auricle defect with MEDPOR ear scaffold covered with superficial temporoparietal fascia flap

目的 探讨颞浅筋膜瓣翻转覆盖Medpor耳支架Ⅰ期全耳再造术在烧伤后全耳缺损修复中的应用效果和操作要点。 方法 以Medpor为耳廓支架 ,掀起颞浅筋膜瓣 ,翻转包裹Medpor耳支架 ,筋膜表面游离植皮行Ⅰ期全耳再造术 ,共修复 15例烧伤后全耳廓缺损患者。 结果 15例患者再造耳廓外形满意。 结论 颞浅筋膜瓣翻转包裹Medpor支架Ⅰ期全耳再造 ,具有手术时间短、操作步骤少、患者损伤小以及术后耳廓形态满意等优点 。

Objective To study the effect and the key points in the operative procedure of the one stage reconstruction of postburn whole auricle defect with Medpor ear scaffold covered with superficial temporoparietal fascia (TPF) flap. Methods Medpor ear scaffold was embedded under the superficial temporal (TFP) fascia. Razor thin skin was grafted onto the surface of the fascia flap. Results Fifteen patients with postburn whole auricle defect were treated by one stage reconstruction with Medpor ear scaffold during the last four years. It was successful in all the patients with satisfactory appearance of the reconstructed ears. Conclusion Medpor possessed friendly biological compatibility. The reconstruction gave satisfactory results, and its advantages consisted of short operational time, easy manipulation, less injury to patients and good auricular contour.