耳再造术中自体肋软骨切取技术的改良

Improvement of autologous costal cartilage harvest techniques in ear reconstruction

目的 探索耳再造术中自体肋软骨切取技术的改良,从而提高手术效率,降低手术并发症的发生。方法 对760例耳再造患者实施肋软骨切除术,从术前准备、术中切口选择、软骨膜的暴露与剥离、切口的闭合等多方面对肋软骨切取技术进行改良。通过切口长度、手术耗时及并发症发生率对手术效果进行评估。结果 760例患者肋软骨切取手术切口平均长度2.6 cm,平均手术耗时35 min。所有患者伤口均愈合良好,无血气胸、大血管损伤等并发症发生,半年随访未见明显胸廓畸形。结论 改良的自体肋软骨切取方法可以提高手术效率,获得良好的手术效果,并且有效减少并发症的发生,值得临床推广应用。

Objective To explore the improved autologous costal cartilage harvest technique in ear reconstruction, so as to improve the operation efficiency and reduce the complications. Methods Costal cartilaginectomy was performed in 760cases of ear reconstruction. The costal cartilaginectomy was improved from the aspects of preoperative preparation,intraoperative incision selection, perichondrium exposure and stripping, incision closure and so on. The surgical effect was evaluated by incision length, operation time and complications. Results In 760 patients, the average length of the costal cartilage incision was 2.6 cm, and the average operation time was 35 min. The wound healed well without complications such as hemopneumothorax and macrovascular injury. No obvious thoracic deformity was found in half a year follow-up.Conclusion The modified autologous costal cartilage harvest method could improve the operation efficiency, obtain good operation effect, and effectively reduce the occurrence of complications. It is worthy to be popularized in clinic.