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| Growth Condition after Auricle Reconstruction and Factors Affecting the Formation of Cranioauricular Angle |
| ZHANG Yue, HUANG Jianqiong, WU Zhihui, et al |
| West China Hospital of Sichuan University, Sichuan Chengdu 610041, China |
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Abstract Objective: To explore the growth of reconstructed auricles and analyze the related factors affecting the formation of cranioauricular angle. Methods: The clinical data of 120 patients with unilateral auricular reconstruction were retrospectively analyzed. The auricle projection areas of reconstructed ear and normal ear were compared before operation and at 3 months, 6 months and 12 months after operation. According to formation of cranioauricular angle of reconstructed ear, the patients were divided into poor group (n=24) and satisfactory group (n=96). The clinical data of the two groups were compared by univariate analysis, and the items with statistically significant differences in the comparison result were given Logistic multivariate stepwise regression analysis. Results: At 3 months, 6 months and 12 months after operation, the auricle projection area of reconstructed ear was significantly higher than that before operation, and there was no statistically significant difference compared with that in normal ear at the same time (P>0.05). There were no significant differences between the two groups in gender, reconstructed auricles, skin blisters, ear piercing or skin care (P>0.05), but age≥13 years old, scar hyperplasia and no use of ear protectors were independent risk factors for poor formation of cranioauricular angle (P<0.05). Conclusions: Auricle growth is good in patients after auricle reconstruction, and the surgical procedure is very feasible. And the effect of cranioauricular angle formation is closely related to age, scar hyperplasia and the use of ear protectors. Clinical diagnosis and follow-up interventions are required to cause enough attention.
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[1] 于晓波,蒋海越,潘博,等.扩张耳后皮瓣联合自体肋软骨移植矫正耳甲腔型小耳畸形[J].中华整形外科杂志,2014,30(1):4~7.
[2] 陈再洪,游晓波.耳郭再造术的应用进展[J].实用医院临床杂志,2016,13(3):128~130.
[3] Magritz R, Siegert R. Auricular reconstruction: surgical innovations, training methods, and an attempt for a look forward.[J]. Facial Plastic Surgery, 2014, 30(2):183~193.
[4] Olshinka A, Louis M, Truong T A. Autologous ear reconstruction[J]. Seminars in Plastic Surgery, 2017, 31(3):146.
[5] 张如鸿.先天性小耳畸形患者耳廓再造的美学重建研究[J].中华耳鼻咽喉头颈外科杂志,2015,50(3):187~191.
[6] 吕涛,王卉,韩忠宇,等.耳廓再造术的研究进展[J].医学综述,2013,19(12):2180~2182.
[7] 陈咏梅,刘争,黄文姣.自体肋软骨移植全耳廓再造术的护理[J].华西医学,2014,29(12):2347~2349.
[8] 胡震,张素琴.皮肤扩张法自体肋软骨耳廓再造术的护理探讨[J].蚌埠医学院学报,2014,39(12):1745~1747. |
| [1] |
. [J]. 河北医学, 2017, 23(10): 1689-1691. |
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2018, Vol. 24 
