分期耳廓再造常见并发症的预防及处理

Prevention and treatment of common complications of ear reconstruction

目的:探讨分期耳廓再造过程中常见并发症的预防及处理。方法:总结2011-11-2012-10期间采用耳后皮肤扩张器结合自体肋软骨支架移植的方法分期进行耳廓再造(46例)患者术后并发症的发生情况。结果:一期手术发生皮瓣破溃致扩张器外露1例;二期手术发生皮瓣坏死3例。经过局部带蒂皮瓣修复,上述患者的再造耳廓获得保留。结论:应重视耳廓再造分期手术的每个环节,积极处理并发症,尽可能在保留耳廓的基础上,应用局部带蒂皮瓣进行修复,可获得比较满意的再造耳廓。

Objective：To explore the prevention and treatment of common complications of ear reconstruction. Method：To summarize complications of 46 patients of microtia whom underwent auricular reconstructions using soft tissue skin expander and autogenous rib cartilage framework by two stages from November 2011 to October 2012. Result： One patient had flap necrosis resulting to exposures of the expanders in the first surgical stage. Three cases of flap necrosis occurred in the second surgical stage. After repair the defect with pedicled flap, the recon- structed auricles of patients with complications were aesthetically satisfied. Conclusion：Treating every step of the reconstruction seriously and correctly could prevent the happening of complications, and when confronting the complications, apply the right treatment such as using pedicled flaps repair the defect to reconstruct the lifelike au- ricles.