The Cause Analysis and Prevention of Cracking of Skin Tissue Expander Applied for Ear Deformity Surgery_West China Medical Journal

Authors：

 WuZhihui , HuangJianqiong

Department of Plastic and Burn Surgical, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

Keywords：

Skin tissue expander; Ear deformity; Crack; Causes; Prevention

DOI：

10.7507/1002-0179.201600516

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Objective To explore the causes and prevention measures of the cracking of skin tissue expander applied for ear deformity surgery. Methods We retrospectively analyzed the clinical data of the patients who underwent ear reconstruction surgery with skin tissue expander which cracked during water injection after surgery between January 2013 and March 2015. And then we analyzed the causes and summarized the preventive measures, such as strengthening health education, protective ear cap application, and correct water injection. Results We collected a total of 149 patients including 153 deformity ears, and 151 skin tissue expanders were used. Skin tissue expander cracking occurred in 7 ears during water injection after surgery with an incidence of 4.64%. Among the seven cases, 5 cases of cracking occurred in the late water injection period when the skin flap size was almost close to expectations; these 5 patients underwent stage-two surgery after the expanders were taken out, and the results were satisfactory. The other 2 ears had expander cracking in the early water injection period, so we took out the skin tissue expander and implanted it again, and the second phase surgery was also satisfactory. The third-stage surgery for the seven cases was all successful. After the third-stage surgery, all patients were followed up for 3 to 6 months, and the outcomes were satisfying without any complications. Conclusion To reduce or avoid skin tissue expander cracking, we should master strict terms of water injection and take effective health education and preventive measures.

Citation： WuZhihui, HuangJianqiong. The Cause Analysis and Prevention of Cracking of Skin Tissue Expander Applied for Ear Deformity Surgery. West China Medical Journal, 2016, 31(11): 1882-1885. doi: 10.7507/1002-0179.201600516 Copy

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15.	牟莉, 吳啟俠, 姜海霞, 等. 擴張法外耳再造術常見并發癥原因分析和護理對策[J].中華耳科學雜志, 2015, 13(1):183-186.
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1. 莊洪興, 蔣海越, 潘博. 先天性小耳畸形的皮膚軟組織擴張器法外耳再造術[J].中華整形外科雜志, 2006, 22(4):286-289.
2. 張晉光, 何樂人, 莊洪興, 等. 耳廓再造術中擴張皮瓣破潰感染的預防和處理[J].中國美容醫學, 2010, 19(3):410-413.
3. 李柱, 馬顯杰, 易成剛. 皮膚軟組織擴張器置入術后感染及外露并發癥的防治[J].中國美容醫學, 2008, 17(2):190-191.
4. 汪良能. 整形外科學[M].北京:人民衛生出版社, 1989:559.
5. Isshiki N. Tcchnique of total ear reconstruction with Opcn erame work composite pseudomcatus grafts and postauride transporition flap[J].Clin Plast Surg, 1990, 17(2):263.
6. 戚可名. 國人耳廓發育調查-兼論外耳再造的年齡選擇[J].中華整形燒傷外科雜志, 1990, 6(2):136.
7. Jiang H, Pan B, Lin, et al. Ten-year experience in microtiareconsyruction using tissue expander and autogenous cartilage[J].Int J Pediat Otorhinolaryngoi, 2008, 72(8):1251-1259.
8. 候慧, 沈廣萍. 應用皮膚軟組織擴張器患者的護理[J].護理實踐與研究, 2008, 5(1):34-35.
9. 馬少林, 黃進軍, 董祥林, 等. 自體肋軟骨移植全耳再造15例臨床分析[J].新疆醫科大學學報, 2009, 32(1):42-44.
10. 楊曉惠, 李健寧. 實用整容外科手術學[M].北京:人民衛生出版社, 1991:53.
11. Park C, Yoo YS, Park HJ, et al. An analysis of the bacterial flora found in the external auditory canals of microtia patients:results and clinical applications[J].Ann Plast Surg, 2010, 65(2):197-200.
12. 潘博, 蔣海越, 莊洪興, 等. 皮膚定量擴張法在耳廓再造中的應用及并發癥的處理[J].中華整形外科雜志, 2009, 25(4):254-257.
13. 蘇法仁, 丁靜華, 薄琳. 皮膚軟組織擴張術在外耳再造中的應用[J].中國耳鼻咽喉頭頸外科, 2009, 16(9):500-502.
14. 楊巧. 皮膚軟組織擴張技術應用于耳廓再造的臨床研究[D].北京:北京協和醫學院, 2014.http://cdmd.cnki.com.cn/Article/CDMD-10023-1014348313.htm.
15. 牟莉, 吳啟俠, 姜海霞, 等. 擴張法外耳再造術常見并發癥原因分析和護理對策[J].中華耳科學雜志, 2015, 13(1):183-186.
16. 魯開化, 艾玉峰. 皮膚軟組織擴張術[M].北京:金盾出版社, 1991:23.
17. 陳詠梅, 劉爭, 黃文姣. 自體肋軟骨移植全耳廓再造術的護理[J].華西醫學, 2014, 29(12):2347-2349.

West China Medical Journal

The Cause Analysis and Prevention of Cracking of Skin Tissue Expander Applied for Ear Deformity Surgery

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