目的:探索耳后皮肤扩张器置入手术获得良好效果的方法及其常见并发症的预防与处理。方法回顾性分析解放军总医院耳鼻咽喉头颈外科2006.7-2012.12由作者完成的204例(245耳)耳后皮肤扩张器置入手术及其并发症处理的患者资料。结果5例血肿,3例皮瓣下方破裂扩张器外露,1例切口裂开,1例扩张器不扩张,无感染病例。经过处理后245耳均顺利完成二期耳廓再造手术。结论耳后皮肤扩张能获得“额外”的皮肤来完成耳廓再造术,及时正确的处理可以预防并发症的产生或消除其影响。
Objective To describe appropriate methods in placing skin expander in the retroaural area and manage?ment of commonly seen complications. Methods Two hundred and four cases (245 ears) that received skin expander implan?tation at the author’s institution during 2006.7-2012.12 were reviewed. Results Postoperative complications included hema?toma (n=5), skin flap rupture with expander exposure (n=3), wound rupture (n-1), and expander failure (n=1). There was no postoperative infection. Following successful management of complications, phase II reconstruction was successfully complet?ed in all 245 ears. Conclusion Retroaural expander provides"extra"skin that can be used in subsequent ear reconstruction. Complications can be prevented and need to be timely treated to minimize influence on subsequent ear reconstruction.