用自生肋骨软骨进行双阶段微重建:25年的经验
Zhicheng Xu1, Qun Zhang, Feng Xu
1Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai JiaoTong University, School of Medicine, Shanghai, China.
The Journal of craniofacial surgery
|August 22, 2025
概括
自主肋骨软骨用于微小的重建,通过详细的耳边轮获得高患者满意度. 这种技术提供了自然特征, 减少了耳朵重建手术的并发症.
科学领域:
- 整形外科
- 耳鼻喉科
- 复原医学
背景情况:
- 由于复杂的子单元结构,使用自主肋骨软骨进行微小的重建是复杂的.
- 实现自然的和的耳朵是一个很大的手术挑战.
研究的目的:
- 报告 3000 种不同类型的脊椎骨耳部重建的结果.
- 评估修改后的手术技术的疗效和并发症率.
主要方法:
- 经过修改的Brent和Nagata技术涉及两个阶段:切口设计,耳叶转移和个性化软骨框架制造.
- 第二阶段包括使用软骨块或人工材料覆盖的耳膜升高和皮肤移植.
主要成果:
- 患者对重建耳朵的最终轮的满意度很高 (86.7%).
- 在199例 (第一阶段) 和277例 (第二阶段) 报告的并发症,包括血瘤,感染和骨架形.
结论:
- 有效利用肋骨软骨可以创造一个和的框架.
- 描述的方法产生了具有自然特征和低并发症率的详细耳边轮.
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