摘要
目的：研究应用膨体聚四氟乙烯（ｅＰＴＦＥ）修复颅面畸形。方法：应用ｅＰＴＦＥ修复颅面畸形３６例，其中颅面外伤凹陷畸形行眶底充填、眶下缘重建、颧骨充填术１０例，先天性鞍鼻行隆鼻术１０例，外伤性鞍鼻行隆鼻术４例，先天性或外伤性鼻尖塌陷行隆鼻尖术４例，颜面软组织凹陷充填３例，先天性小耳与外伤性耳廓畸形行耳廓重建３例，下颌后缩行隆下颌术２例。结果：ｅＰＴＦＥ材料雕刻容易，易于固定，手术损伤小，安全，术后恢复快，并发症少。随访１～２４个月，修复的颅面轮廓自然优美；假体与周围组织愈合牢固，触诊无异物感；除２例出现肿痛积液、１例充填过高外，余效果满意。结论：ｅＰＴＦＥ是颅面畸形软组织充填整形的良好材料，安全、效果好。
Objective:To research the application of the expa nded polytetrafluoroethylene (e PTFE) to craniofacial defo rmity anaplasty.Methods:Thirty six cases of craniofacial defor mity anaplasty were performed with e PTFE including orbital floor filling, rec onstruc tion of the lower margin of the eye socket,the malar bone filling; nose augmenta tion in congenital or traumatic saddle nose deformity;nose augmentation in con genital or traumatic collapse of apex of nose filling in facial soft tissue hollow auricle reconstrucion in congenital or tra umatic auricle deformity;and mandible augmentation in mandible retrusiv e deformity.Results:e PTFE was e asy to c arve and fix.The operation was safe with small injury and fewer complications . Postoperative follow up from 1 to 24 months show ed satisfactory and permanent results except for red swelling,pain and hydroce le i n 2 cases, over augmentation in 1 case. The patches were firmly healed with surrounding tissues. Difference feel was not found in palpation.Conclusio n:e PTFE is a safe and perfect soft tissue material in plastic surg ery filling of craniofacial deformity.
出处
《山东医科大学学报》
2002年第1期81-82,共2页
Acta Academiae Medicinae Shandong
