全耳廓缺失的种植赝复体修复

Repair of whole auricular defects with implant-plasty and prosthesis

目的 对 10例全耳廓缺失病例进行种植赝复体整形治疗 ,探讨其适应证、并发症及种植位点。方法 采用自行研发的整形专用钝钛种植体 ,以此作为骨内固定携带义耳 ,修复全耳廓缺失畸形。结果 经 3年随访证实 ,所采用的整形种植体性能稳定 ,种植体 骨界面结合牢固 ,可以作为赝复体的骨内固定穿经皮肤长期使用。结论 本手术方法简便 ,创伤小 ,治疗周期短 ,通过赝复体修复技术再造的耳廓外形逼真 ,色泽良好 ,效果满意 ,有非常广泛的适应证与推广前景。

Objective To repair the whole auricular defects with implant-plasty and prosthesis technique.The indications,complications and implant sites of this method were discussed. Methods In reconstruction of the whole auricular defect,the self-developed pure titanium implants,specialized for plastic surgery,were used for intra-osseous fixation for retaining the artificial ear.10 cases were treated with this method. Results Follow-up of three years demonstrated that this implant system,with stable function,could generate osseointegration and be used as an abutment of intra-osseous fixation to retain the auricular prosthesis for a long time. Conclusion The operation is simple and convenient with little trauma and short-term of treatment.The artificial ear has lifelike appearance,proper color and satisfactory effects.This technique has wide indications and is worth popularization.