摘要
目的:总结双侧小耳畸形应用自体肋软骨行全耳廓再造术的护理。方法:一期手术:取自体第九肋软骨联合部修整后弯成弧形耳轮,将用肋软骨制作耳廓支架埋于乳突区皮下。二期手术:从取肋软骨的同一切口切取游离皮片,在其后侧植皮。术后精心护理,妥善持续负压吸引。结果:形状逼真,无组织坏死,无明显变形。结论:采用自体肋软骨无排斥现象,是较为理想的耳再造材料。术后密切观察植皮区及耳廓表皮,防止受压。持续负压吸引,妥善包扎是手术成功的关键。
Objective：To summarize the nursing of bilateral microtia underwent autogenous rib cartilage for ear reconstruction.Methods：1st phase operation：autogenous ninth costal joint is trimmed to arch helix,floating rib free-end as the helix,transfixing sutured by small-gauge wire or silk thread to form stable and natural outer helix.Longitudinal incision is made in line with disabled eyes location,and buries the helix structure made of rib cartilage under mastoid region skin.2nd phase operation：lift rib cartilage with subcutaneous tissue,incise free skin flap in the same incision,and plant at the back.Meticulous care and constant negative pressure suction are provided after the operation.Results：according to follow-up visits,autogenous rib cartilage for ear reconstruction is vivid in form,without organism necrosis or obvious deformation.Conclusion：Autogenous rib cartilage is free from rejection,easy for carving,anti-infection,flexible and convenient to find.It is vivid in appearance and flexible in quality;therefore it is ideal for ear reconstruction.Close observation after operation,meticulous nursing,continuous negative pressure suction and proper dressing are key to successful operation.
出处
《安徽卫生职业技术学院学报》
2009年第6期100-101,共2页
Journal of Anhui Health Vocational & Technical College
关键词
自体肋软骨
小耳畸形
耳再造
护理
autogenous rib cartilage
microtia
ear reconstruction
nursing
