保留颞浅筋膜的扩张器法与耳后筋膜瓣直接埋置法耳再造术后效果比较

doi:10.3969/j.issn.1673-0364.2020.03.012

组织工程与重建外科杂志 ›› 2020, Vol. 16 ›› Issue (3): 220-222.doi: 10.3969/j.issn.1673-0364.2020.03.012

保留颞浅筋膜的扩张器法与耳后筋膜瓣直接埋置法耳再造术后效果比较

王晶晶, 邹佳, 宋辉, 唐枭伟, 戈成旺, 蔡薇, 李磊, 沈干()

210000 江苏省南京市南京医科大学第二附属医院整形外科。

收稿日期:2020-05-07 修回日期:2020-05-26 出版日期:2020-07-27 发布日期:2020-06-26

The Postoperative Comparison of the Auricular Reconstruction Between the Dilator Method Retaining the Superficial Temporal Fascia and the Posterior Ear Fascial Flap Method

Jingjing WANG, Jia ZOU, Hui SONG, Xiaowei TANG, Chengwang GE, Wei CAI, Lei LI, Gan SHEN()

Department of Plastic Surgery, The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210009, China

Received:2020-05-07 Revised:2020-05-26 Online:2020-07-27 Published:2020-06-26

摘要/Abstract

摘要：

目的比较两种耳再造方法,即保留颞浅筋膜的扩张器法与耳后筋膜瓣直接埋置法的临床效果。

方法回顾性分析118例小耳畸形患者的临床资料,实验组(n=105)采用保留颞浅筋膜的扩张器法分三期行耳再造,对照组(n=13)选择耳后筋膜瓣直接埋置法分二期行耳再造术。术后评估满意度、并发症发生率、手术效果。

结果两组的术后满意度、并发症发生率、手术效果均无显著差异(P>0.05),但实验组的术后瘢痕发生率明显优于对照组(P<0.05)。

结论保留颞浅筋膜的扩张器法三期耳再造术后效果优良,瘢痕不明显,值得临床推广应用。

关键词: 小耳畸形, 颞浅筋膜, 耳后筋膜瓣, 耳廓修复

Abstract:

Objective To compare the clinical effects of the auricular reconstruction between the dilator method retaining the superficial temporal fascia and the posterior ear fascial flap method .

Methods From January 2010 to January 2019, the clinical data of 118 patients with microtia was retrospectively analyzed and the patients were divided into experimental group (n=105) and control group (n=13) according to the different operation method. In the experimental group, three-stage auricular reconstruction technique retaining the superficial temporal fascia was performed. In the control group, the two-stage ear reconstruction using the postauricular fascial flap was performed. The patients were followed regularly after the surgery, and the surgical effect, satisfaction rate, incidence of complications of the two groups were evaluated.

Results Statistical analysis showed that there were no statistically significant differences between the experimental group and the control group in terms of postoperative satisfaction, postoperative complication rate of skin problems and surgical effect (P>0.05), but the incidence of postoperative scar was significantly different between the two groups (P<0.05).

Conclusion The three-stage auricular reconstruction surgery with retained superficial temporal fascia shows good postoperative effect, and the scar is not obvious, which is worthy of clinical application.

Key words: Microtia, Superficial temporal fascia, Postauricular fascial flap, Auricular repair

中图分类号:

R622

王晶晶, 邹佳, 宋辉, 唐枭伟, 戈成旺, 蔡薇, 李磊, 沈干. 保留颞浅筋膜的扩张器法与耳后筋膜瓣直接埋置法耳再造术后效果比较[J]. 组织工程与重建外科杂志, 2020, 16(3): 220-222.

Jingjing WANG, Jia ZOU, Hui SONG, Xiaowei TANG, Chengwang GE, Wei CAI, Lei LI, Gan SHEN. The Postoperative Comparison of the Auricular Reconstruction Between the Dilator Method Retaining the Superficial Temporal Fascia and the Posterior Ear Fascial Flap Method[J]. Journal of Tissue Engineering and Reconstructive Surgery, 2020, 16(3): 220-222.

图/表 2

参考文献 5

[1]	Zou Y, Zhuang H, Wang S , et al. Satisfactory surgical option for congenital microtia with defects of external auditory meatus (EAM) and middle ear[J]. Acta Otolaryngol, 2007,127(7):705-710.
[2]	Steffen A, Wollenberg B, König IR , et al. A prospective evaluation of psychosocial outcomes following ear reconstruction with rib cartilage in microtia[J]. J Plast Reconstr Aesthet Surg, 2010,63(9):1466-1473.
[3]	Li D, Chin WS, Wu J , et al. Psychosocial outcomes among microtia patients of different ages and genders before ear reconstruction[J]. Aesthetic Plast Surg, 2010,34(5):570-576.
[4]	Li C, Jiang H, Huang C , et al. A new strategy for total auricular reconstruction using prelamination of an extended retroauricular flap with tissue expansion[J]. J Plast Reconstr Aesthet Surg, 2016,69(6):819-826.
[5]	Ladani P, Valand R, Sailer H . Ear reconstruction using autologus costal cartilage: a steep learning curve[J]. J Maxillofac Oral Surg, 2019,18(3):371-377.

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保留颞浅筋膜的扩张器法与耳后筋膜瓣直接埋置法耳再造术后效果比较

The Postoperative Comparison of the Auricular Reconstruction Between the Dilator Method Retaining the Superficial Temporal Fascia and the Posterior Ear Fascial Flap Method

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