摘要
目的探讨先天性小耳畸形耳后埋置扩张器的并发症防治效果。方法回顾性分析2015年收治的418例先天性小耳畸形患者,均于耳后埋置扩张器(428只),并定期注水,择期行二期手术。其中术后出现血肿7例,感染8例,切口裂开5例,皮瓣破溃11例,面神经损伤2例,分别给予对症治疗。结果 7例血肿患者在排出积血、清除血肿后,8例感染患者在感染得到控制后,均未影响扩张器注水及二期手术治疗;5例切口裂开患者,2例行清创缝合术,3例即刻行二期手术;11例皮瓣破溃患者,1例行扩张器取出术,10例即刻行二期手术;2例面神经损伤患者经营养神经药物治疗后,未见明显恢复。结论按照规范化手术流程操作,注水期间密切观察局部不良反应并给予及时处理,能有效降低并发症的发生率,从而保证二期手术顺利进行。
Objective To investigate the prevention of complications of post-auricular soft tissue expander implantation for congenital microtia. Methods A total of 418 patients with congenital microtia malformations were retrospectively analyzed from January to December 2015. A total of 428 soft tissue expanders were implanted in the 418 patients. Complications included hematoma（n=7）, infection（n=8）, wound dehiscence（n=5）, flap necrosis（n=11）, and facial nerve injury（n=2）. All cases with complications received symptomatic treatment. Results Dilator water injection and stage II operations for 7 patients with hematoma and 8 patients with infection were unaffected after removing the hematoma and controlling infections. In five patients, wound dehiscence occurred. Two of these cases were treated with debridement and suture, the remaining cases underwent stage II operations. The expander was removed for 1 patient with flap necrosis,and stage II operations were carried out immediately for the remainder of the patients. There was no obvious recovery after neurotrophic drug treatment for 2 cases with facial nerve injury. Conclusion Standardized operation procedure, careful observation of local adverse reactions and timely treatment during the expander dilator water injection can effectively reduce the incidence of complications and ensure a smooth stage II operation.
出处
《中国美容整形外科杂志》
CAS
2017年第11期673-675,682,共4页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
先天性小耳畸形
扩张器
并发症
规范操作
Congenital microtia
Soft tissue expander
Complications
Standardized operation procedure
