山东大学耳鼻喉眼学报

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耳郭假性囊肿的手术治疗

蔡昌枰1, Siow Jinkeat2, Samuel Yeak2   

  1. 1. 上海交通大学医学院附属瑞金医院耳鼻咽喉科,上海交通大学医学院耳鼻咽喉科研究所,上海 200025; 2. Department of Otolaryngology, Tan Tock Seng Hospital, Singapore 308433
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-10-24 发布日期:2007-10-24
  • 通讯作者: 蔡昌枰

Surgical excision with compression buttoning for pseudo-cysts of the auricle

CAI Chang-ping1, Siow Jinkeat2, Samuel Yeak2   

  1. 1. Department of Otolaryngology, Ruijin Hospital, School of Medicine, Institute of Otorhinolaryngology,Shanghai Jiaotong University;2. Department of Otolaryngology, Tan Tock Seng Hospital, Singapore 308433
  • Received:1900-01-01 Revised:1900-01-01 Online:2007-10-24 Published:2007-10-24
  • Contact: CAI Chang-ping

摘要: 目的 评估耳郭假性囊肿手术治疗的临床价值。方法 选择合适的患者30例进行治疗。沿对耳轮作皮肤切口,充分暴露囊肿腹侧的软骨膜及其附着的薄层软骨,然后予以切除,并清除囊肿背侧软骨表面可能存在的纤维束或肉芽组织。以常规方式缝合切口后,再作贯穿耳郭的双侧钮扣缝合固定。结果 所有病例均一期愈合,无并发症发生,随访未见复发。 结论 对耳郭假性囊肿,建议采取手术治疗,但须严格按照无菌操作要求,并防止术后继发感染。

关键词: 耳郭假性囊肿, 压迫钮扣, 耳郭软骨

Abstract: Objective To evaluate the effects of surgical excision with compression buttoning on pseudocysts of the auricle. Methods 30 patients were selected for surgery during the past two years. A helical incision was made and a skin flap was well raised beyond the boundary of the raised anterior cartilage segment of the pseudocyst. The affected perichondrium was carefully excised along the margins. The skin flap was returned to its original position and closed with simple running 5/0 Vicryl(r) rapide sutures. A pair of sterilized buttons on the anterior and posterior surfaces of the auricle was used to sandwich the raised skin flap onto the cartilage. The buttons and sutures were removed on the fifth and eighth postoperative days. Results All recovered well following excisions and compression buttonings of the pseudocyst. No recurrence and complications developed. Conclusion Treatment options are varied. Surgical excision with compression buttoning yields an excellent result without recurrence. It is advised to be the first choice in the management of pseudocysts of the auricle.

Key words: Pseudo-cyst of auricle, Compression buttoning, Auricular cartilage

中图分类号: 

  • R764.1
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[4] 李全行,包景川,姜洪波. 对孔穿刺引流冲洗加压包扎术治疗耳郭假性囊肿60例[J]. 山东大学耳鼻喉眼学报, 2010, 24(4): 29-.
[5] 马文新,黄晓阳,卢新丰,杨雪华 . 全耳郭石膏灌注固定治疗耳郭假性囊肿[J]. 山东大学耳鼻喉眼学报, 2006, 20(5): 468-468 .
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