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目的:探讨采用Medpor支架行Ⅰ期耳廓再造新术式的临床效果。方法:采用耳廓Medpor支架,外包以筋膜瓣,再以中厚或全厚皮片移植覆盖,手术Ⅰ期完成。结果:25例(25耳)皆一次成功,再造耳廓大小、外形及细微凹凸结构等,皆与健耳无显著性差异,无毛发生长,无皮肤坏死。结论:采用Medpor支架,覆以筋膜瓣和皮肤的全耳廓再造术式临床效果良好,手术方便。无需扩张皮瓣,免受取材及多次手术的痛苦,是一种较为理想的全耳廓再造方法。
Objective: To investigate the clinical effect of using Medpor scaffold to carry out the first phase of auricle reconstruction. Methods: The auricle Medpor stent was used, which was covered with fascia flap and then covered with medium or full thickness skin graft. The operation was completed in stage Ⅰ. Results: All the 25 cases (25 ears) were successful at one time. The size, shape and fine concave and convex structures of the ear were reformed. There was no significant difference between the two groups. There was no hair growth and no skin necrosis. Conclusion: The whole ear reconstruction with Medpor stent and fascia flap and skin has good clinical effect and convenient operation. No need to expand the flap, suffering from the material and multiple operations, is a more ideal method of auricle reconstruction.