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1981-1997年共收治耳廓断裂伤22例,鼻部断裂伤20例。42例中男37例,女15例,年龄6个月~72岁。耳廓大部分断裂18例(全层断裂长度超过耳廓与头颅附着长度2/3),完全断裂4例(残留皮蒂不足0.5cm)。鼻部断裂20例,其中完全断裂5例,部分断裂15例。其中鼻部断裂3例,鼻尖合并鼻小柱断裂5例,鼻背裂伤合并单侧鼻翼断裂9例(左5例,右4例),自鼻背向前掀起合并鼻中隔断裂伤3例。受伤至就诊时间短者10分钟,长者8小时。经严格清洗消毒后对位缝合或游离再植,细线缝合,加高压氧及给予改善微循环药物治疗,除2例完全断离耳廓再植失败外,余40例修复及再植成功。随访3年疗效满意。
Between 1981 and 1997, 22 cases of auricle fracture and 20 cases of nasal rupture were treated. 42 cases of male 37 cases, 15 females, aged 6 months to 72 years. Most of the auricle rupture in 18 cases (full-length rupture length than the auricle and head attachment length 2/3), complete rupture in 4 cases (residual ptti less than 0.5cm). Nasal rupture in 20 cases, including 5 cases of complete rupture, partial rupture in 15 cases. There were 3 cases of nasal rupture, 5 cases of nasal tip with columella fracture, 9 cases of nasal dural laceration with unilateral nasal rupture (left 5 cases, right 4 cases). Injured to treatment for a short time of 10 minutes, the elderly 8 hours. After rigorous cleansing and disinfection of suture or free replantation, fine suture, plus hyperbaric oxygen and to improve microcirculation drug treatment, in addition to 2 cases completely removed from the auricle replantation failure, more than 40 cases of repair and replantation success. Follow-up 3 years of satisfactory results.