综上所述,全耳再造术为分期手术,耗时长,有一定的并发症发生率,手术过程复杂精细,涉及多项基本的整形外科技术。要求整形外科医生具备高度的责任心、深厚的理论功底、扎实的基本功和及时判断、处理常见并发症的能力。自体肋软骨移植结合耳后皮肤软组织扩张术行耳再造能获得理想的术后效果,是目前国内外耳再造的首选术式。
【参考文献】
[1] 杜佳梅,庄洪兴,蒋海越,等.先天性小耳畸形患者及其家属心理状况调查研究[J].中华整形外科杂志,2005,21(3):218-221.
[2] Tollefson T.Advances in the treatment of microtia[J].Curr Opini Otolaryngol Head Neck Surg,2006,14(6):412-422.
[3] 晋培红,许 枫,张 群.126例全耳再造术取自体肋软骨的体会[J].组织工程与重建外科杂志,2007,3(1):40-43.
[4] Nagata S.A new method of total reconstruction of the auricle for microtia[J].Plast Reconstr Surg,1993,92(2):187-201.
[5] 庄洪兴,蒋海越,潘 博,等.先天性小耳畸形的皮肤软组织扩张器法外耳再造术[J].中华整形外科杂志,2006,22(4):286-289.
[6] Brent B.The team approach to treating the microtia atresia patient[J].Otolaryngol Clin North Am,2000,33(6):1353-1365.
[7] Beahm E,Walton R.Auricular reconstruction for microtia:part I. Anatomy,embryology,and clinical evaluation[J].Plast Reconstr Surg,2002,109(7):2473-2482.
[8] Kawanabe Y,Nagata S.A new method of costal cartilage harvest for total auricular reconstruction:Part I.Avoidance and prevention of intraoperative and postoperative complications and problems[J].Plast Reconstr Surg,2006,117(6): 2011-2018.
[9] Brent B.Auricular repair with autogenous rib cartilage grafts:Two decades of experience with 600 cases[J].Plast.Reconstr. Surg.1992,90(3):355-374.
[10] Frank J,Green S.Framework Growth after Reconstruction for Microtia: Is It Real and What Are the Implications?[J].Plast.Reconstr. Surg,2001,108(6):1479-1484.
[11] 全玉竹.庄洪兴.赵延勇.等.乳突筋膜皮瓣在临床外耳再造术中的应用[J].中国美容医学,2006,15(8):923-924.
[12] Osorno G.A 20-Year Experience with the Brent Technique of Auricular Reconstruction: Pearls and Pitfalls[J].Plast. Reconstr. Surg,2007,119(5),1447-1463.
[13] Park C.Subfascial expansion and expanded two-flap method for microtia reconstruction[J].Plast Reconstr Surg,2000,106(7):1473-1487.
[14] Cho B,Lee S.Surgical results of two-stage reconstruction of the auricle in congenital microtia using an autogenous costal cartilage alone or combined with canaloplasty[J].Plast Reconstr Surg,2006,117(3):936-947.
[15] Cunha M,Nakamoto H,Herson M, et al.Tissue expander complications in plastic surgery: A 10-year experience[J].Rev Hosp Clin Fac Med Sao Paulo,2002,57(3):93-97.
[16] 邹艺辉,王淑杰,薛 峰,等.皮瓣展平法在耳廓再造时扩张皮瓣感染中的应用[J].解放军医学杂志,2006,31(12):1187-1188.
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