Prevention and treatment of the complications of auricle reconstruction
10.3760/cma.j.issn.1671-0290.2012.02.008
- VernacularTitle:全耳再造术并发症的处理及防治
- Author:
Liang CHEN
;
Xiaoge LI
;
Shirong LI
;
Zhe LI
;
Xia DAI
;
Julong WU
- Publication Type:Journal Article
- Keywords:
Auricle reconstruction;
Rib cartilage;
Autolgous;
Medpor;
Framework
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2012;18(2):108-111
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the treatment and prevention of auricle reconstruction complications by Medpor framework and autoallergic rib cartilage framework implantation.Methods A total of 158 microtia were performed ear reconstructive operation,in which postoperative complications happened in 18 cases during January 2003 to June 2011,and studied retrospectively.Results There were three cases of dilator haematoma (incidence rate was 1.90 ％),and they were cured after treatment.There were two dilator infection cases (incidence rate was 1.27 ％).One case was cured after treatment,and another one revealed no effect after treatment and dilator implantation operation was done half a year later.There were thirteen cases of framework plantation exposure and infection after Ⅱ stage operation,in which there were seven rib cartilage framework cases (incidence rate was 5.79 ％),and they were cured after change dressings and operation; there were six Medpor framework cases (incidence rate was 16.22 ％),and the three cases were cured after change dressings and operation,and other three cases revealed no effects after change dressings and so the operation failed.ConclusionsPreoperative percise plan and fine manipulation can decrease the incidence of haematoma.The main reasons of framework exposure include the skin tension,thin skin flap or the effect of external force.On account of the high incidence of framework exposure and difficult treatemnt,it is better to use rib cartilage framework for uricle reconstruction.
