耳廓挫裂伤显微清创缝合56例体会

The Clinical Experience of Microsurgical Debridement for Auricle Laceration(A Report of 56 Cases)

目的 探讨显微清创治疗耳廓挫裂伤的效果。 方法 5 6例耳廓挫裂伤患者 ,在全麻或耳周神经阻滞麻醉下行显微清创缝合。其中 11例组织缺损者分别行局部松解 2例、“Z”形成形 5例、带蒂皮瓣修复 4例。 7例耳廓部分离断和 1例全离断者行原位缝合。 结果 4 6例伤口甲级愈合 ,7例乙级愈合 ,3例丙级愈合。组织缺损修复者皮瓣均成活 ,耳廓原位缝合者形态及功能无影响。 结论 耳廓为一形状特殊、多生理曲线器官 ,显微法处理创口能更好地达到清创彻底、对位准确。

Objective To explore the effect of microsurgical debridement for auricle laceration. Method Under general anesthesia or periotic nerve block anesthesia, 56 patients of auricle laceration underwent microsurgical debridement. In the 11 tissue defect patients, 2 cases received local lysis, 5 cases received “Z”-shape plasty and 4 cases got pedicle flap reconstruction. 7 cases with partial auricle mulitation and 1 case with complete mulitation were sewed up in situ. Results Forty-six wounds got first rate healing, 7 got second rate healing and 3 got third rate healing. All the pedicle flaps performed for reconstruction survived. The outline and function of the auricle achieved satisfactory effects. Conclusions The auricle is an organ with special shape and more physiologic curves. Microsurgical debridement can achieved good effects with thorough debriding, accurate paratope and less scar.