Title: [Clinical application of cartilage replantation in situ from amputated ear in the reconstruction of ear in secondary stage].
Abstract: Objective: To investigate the feasibility and clinical effect of reconstruction the ear using cartilage from amputated ear. Methods: 30 patients (22 males, 8 females, age 22-50, 18 cases right ear, 12 cases left ear) with partial auricles defects received replantation of amputated ears using the cartilages from the amputated ears from January, 2013 to June, 2017.Firstly, an advancements postauricular skin flap was made.Secondly, the skin of the amputated ear was removed and its cartilage was retained, then the cartilage was sutured in situ to form cartilage bracket.Finally, the postauricular crimp scalp flap was sutured to form the helix structure.After three months, the back of the reconstructive ear was repaired with the full thickness graft to restore the cranio-auricular angle. Results: Thirty cases were applied with this method to repair the defects.The sizes of auricle contour were good, and the cranio-auricular angles were restored after skin-grafting.The ear shape was stable in 3-6 months' follow-up.VAS was used to evaluate patients satisfaction.All parameters before and after the procedure had significant difference (P<0.05). Conclusions: Patients with partial auricles defects can receive replantation of amputated ears using the cartilages from the amputated ears which has the advantage of short treatment period, satisfactory clinical effect and avoidance using the costal cartilages.Its long-term effect is stable.目的: 探讨急诊条件下将完全断离的耳廓软骨原位再植修复的技术方法。 方法: 2013年1月至2017年6月上海交通大学医学院附属第九人民医院急诊收治的30例外伤后部分耳廓完全断离患者(男22例,女8例,年龄22~50岁;右耳18例,左耳12例),经整形外科会诊确认无法采用显微血管吻合术,遂应用一期断离耳廓软骨原位再植和局部推进瓣修复耳廓缺损,3个月后二期断蒂,恢复颅耳角。 结果: 30例部分耳廓缺损经过二次手术修复后,患者对耳廓大小和形态较为满意,随访半年后形态稳定。应用视觉模拟量表(VAS)对患者术前和术后满意度进行评分,术前、一期术后2周、一期术后3个月和二期术后2周的评分分别为(10.0±0.0)、(4.1±0.9)、(3.7±1.1)和(1.3±0.9)分,术后患者满意度与术前相比,差异具有统计学意义(P值均<0.05)。 结论: 断离耳廓软骨原位再植,可避免取自体肋软骨,二期术后耳廓形态的患者满意度较高。.
Publication Year: 2018
Publication Date: 2018-10-07
Language: en
Type: article
Indexed In: ['pubmed']
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Cited By Count: 1
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