负压引流装置在小耳畸形患者皮肤扩张法耳郭再造二期手术中的应用

doi:10.6040/j.issn.1673-3770.0.2019.551

Abstract

Abstract: Objective The objective of this study was to introduce a negative pressure drainage device for dermal dilatation of microtia during the second phase of auricular reconstruction surgery. Methods A total of 420 patients with microtia who required skin expander implantation and cartilage framework grafts for auricular reconstruction were included in the study and randomly divided into two groups according to postoperative drainage. The study group used a special negative pressure drainage device(n=290)and a negative pressure drainage tube was placed routinely in the control group(n=130). We statistically compared the rates of subcutaneous hematoma formation between the two groups. Results In the study group, subcutaneous hematomas were less frequent than in the control group(P<0.05). Conclusions The special negative pressure drainage device effectively prevented subcutaneous hematomas during dermal dilatation of microtia in the second phase of auricular reconstruction surgery. This device is widely used clinically.

Key words: Negative pressure drainage, Congenital microtia, Auricular reconstruction

CLC Number:

R764.7

SU Faren, LIU Yuhong, BO Lin, LIU Xingang. A negative pressure drainage device for dermal dilatation of microtia in the second phase of auricular reconstruction surgery[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(3): 125-128.

References

[1] Bly RA, Bhrany AD, Murakami CS, et al. Microtia reconstruction[J]. Facial Plast Surg Clin North Am,2016,24(4):577-591. doi: 10.1016/j.fsc.2016.06.011.
[2] Paput L, Czeizel AE, Bánhidy F. Possible multifactorial etiology of isolated Microtia/anotia: a population-based study[J]. Int J Pediatr Otorhinolaryngol, 2012, 76(3): 374-378. doi:10.1016/j.ijporl.2011.12.012.
[3] Luquetti DV, Leoncini E, Mastroiacovo P. Microtia-anotia: a global review of prevalence rates[J]. Birth Defects Res Part A Clin Mol Teratol, 2011, 91(9): 813-822. doi:10.1002/bdra.20836.
[4 ] Han SE, Lim SY, Pyon JK, et al. Aesthetic auricular reconstruction with autologous rib cartilage grafts in adult microtia patients[J]. J Plast Reconstr Aesthet Surg, 2015,68(8): 1085-1094. doi: 10.1016/j.bjps.2015.04.016.
[5] 苏法仁. 一种用于皮肤扩张法耳廓再造的持续负压引流装置: CN106859848A[P]. 2017-06-20.
[6] 苏法仁,丁静华,刘玉红.苏氏定位法在小耳畸形患者耳廓再造中的应用[J]. 中华耳科学杂志,2016,14(4):551-553. doi: 10.3969/j.issn.1672-2922.2016.04.025. SU Faren, DING Jinghua, LIU Yiuhong. Application of Su's localization method for auricular reconstruction in patients with microtia [J]. Chinese Journal of Otology,2016,14(4):551-553. doi: 10.3969/j.issn.1672-2922.2016.04.025.
[7] 苏法仁, 丁静华, 薄琳, 等. 先天性小耳畸形的耳廓再造[J]. 中华耳科学杂志, 2014, 12(1): 90-92. doi: 10.3969/j.issn.1672-2922.2014.01.022. SU Faren, DING Jinghua, BO Lin, et al. Auricle reconstruction of Microtia[J]. Chinese Journal of Otology, 2014, 12(1): 90-92. doi: 10.3969/j.issn.1672-2922.2014.01.022.
[8] 薄琳, 苏法仁, 丁静华. 负压引流技术在外耳再造中的临床应用[J]. 山东大学耳鼻喉眼学报, 2011, 25(6): 43-45. BO Lin, SU Faren, DING Jinghua. Clinical application of negative pressure drainage in ear reconstruction[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2011, 25(6): 43-45.
[9] 苏法仁. 自体肋软骨耳廓支架: CN201441497U[P]. 2010-04-28.
[10] Bangun K, Chen PK, Goh RC, et al. Negative pressure manoeuvre in microtia reconstruction with autologous rib cartilage[J]. J Plast Reconstr Aesthet Surg, 2010, 63(8): 1279-1282. doi:10.1016/j.bjps.2009.07.007.
[11] 薄琳,苏法仁,刘新刚,等. 手术治疗耳郭假性囊肿45例[J]. 山东大学耳鼻喉眼学报,2014,28(6):16-17. doi: 10.6040/j.issn.1673-3770.0.2014.138. BO Lin, SU Faren, LIU Xingang, et al. Surgical treatment of pseudocyst of auricle in 45 Cases[J]. Journal of Otolaryngology and Ophthalmology of Shandong University,2014,28(6):16-17. doi: 10.6040/j.issn.1673-3770.0.2014.138.
[12] 刘义平, 林远超. 负压引流防治腮腺术后涎瘘112例[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 65-67. doi: 10.6040/j.issn.1673-3770.0.2017.258. LIU Yiping, LIN Yuanchao. Use of negative pressure drainage for prevention of salivary fistula after parotidectomy: an analysis of 112 cases[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(4): 65-67. doi: 10.6040/j.issn.1673-3770.0.2017.258.
[13] Swanson EW, Cheng HT, Susarla SM, et al. Does negative pressure wound therapy applied to closed incisions following ventral hernia repair prevent wound complications and hernia recurrence? A systematic review and meta-analysis[J]. Plast Surg(Oakv),2016,24(2): 113-118. doi: 10.1177/229255031602400207.
[14] 刘倩, 胡莎, 饶敏, 等. 封闭负压引流技术对组织氧分压影响的研究[J]. 当代护士(下旬刊), 2016(4): 58-59. doi: CNKI:SUN:DDHZ.0.2016-04-031. LIU Qian,HU Sha,RAO Min,et al. Effect of closed negative pressure drainage on oxygen partial pressure of tissue[J]. Today Nurse, 2016(4): 58-59. doi: CNKI:SUN:DDHZ.0.2016-04-031.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

Comments

Recommended 10

[1]	. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(2): 116 -118 .
[2]	ZHOU Zi-ning,JIN Guo-wei . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(5): 462 -465 .
[3]	ZHOU Bin,LI Bin . Endoscopic sinus surgery for 75 patients with chronic sinusitis and nasal polyps[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 24 -26 .
[4]	XU Sainan,YANG Lei . Apoptosis of epithelial cells in nasal polyps promoted by erythromycin[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 27 -29 .
[5]	. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 94 -95 .
[6]	LIU Lian-he . Treatment of deep neck abscess in 37 cases[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(2): 180 -181 .
[7]	. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 200 -203 .
[8]	QIAO Yi,NI Guan-sen,CHEN Wen-wen . Effect of H-UPPP and nasal operations on obstructive sleep apnea syndrome in 38 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 206 -208 .
[9]	WANG Xiao-feng,LIN Chang,CHENG Jin-mei . Expression of ABAD in inner ears and its clinical significance in different age mice[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 207 -211 .
[10]	FAN Qi-jun,HUANG Zhi-wu,MEI Ling,XIAO Bo-kui . Expression of the heat shock protein 27 in rat cochlea induced by sodium salicylate injection by the FQ-PCR technique[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 212 -214 .

A negative pressure drainage device for dermal dilatation of microtia in the second phase of auricular reconstruction surgery

PDF (PC)

Abstract

Cite this article

share this article

References

Related Articles 6

Metrics

Comments

Recommended 10

[1]	BO Lin, LIU Xingang, LIU Yuhong, SU Faren. Application of expanded skin flaps and fascial flaps(the two flaps method)in ear reconstruction for patients with microtiag [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 49-51.
[2]	SU Faren, MA Qifa, LIU Yuhong. Contact mini in patients with bilateral congenital microtia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 69-71.
[3]	BO Lin, SU Fa-ren, LIU Xin-gang, DING Jing-hua. Surgical treatment of pseudocyst of auricle in 45 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 16-17.
[4]	HAN Hao-lun, WU Wei. Surgery advance of congenital ear malformation [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(1): 85-88.
[5]	BO Lin， SU Fa-ren， DING Jing-hua. Clinical application of negative pressure drainage in ear reconstruction [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(6): 43-.
[6]	cui xin hua,wang qi rong,han fei,gu lin tao. Auricular traumatic injuries(163 cases) [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(2): 24-.