International Trends in the Treatment of Microtia
International Trends in the Treatment of Microtia
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DOI：
10.1097/scs.0b013e31821c9464
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发表时间：
2011-07-01
影响因子：
0.9
通讯作者：
Kon, Moshe
中科院分区：
文献类型：
--
作者：
Breugem, Corstiaan C.;Stewart, Ken J.;Kon, Moshe
背景：小耳畸形是一种广为人知的颅面畸形，可采用多种不同的治疗策略和技术进行治疗。本研究旨在分析目前国际上小耳畸形修复术的发展趋势。方法：所有参加爱丁堡第四届国际耳再造大会的外科医生通过电子邮件收到了一份问卷，了解他们目前在小耳畸形治疗中的手术实践。大多数初级重建是在8到10岁时使用同侧第六到第八根肋骨的自体软骨进行的。大多数外科医生会制作一个多层支架，留下一个皮下蒂。所有患者均采用负压引流。平均而言，第二阶段是在超过6个月后使用乳突瓣进行的。大多数外科医生不重建中耳。结论：小耳再造术有许多不同的方法，有多种治疗方法和手术后的可能性。
Background: Microtia is a well-known craniofacial malformation treatable with numerous different treatment strategies and techniques. The purpose of this study was to analyze the current international trends in microtia repair.Methods: All surgeons attending the fourth International Ear Reconstruction Congress in Edinburgh received a questionnaire by e-mail about their current surgical practice in microtia care.Results: Thirty-one questionnaires were received. Most primary reconstructions are performed at ages 8 to 10 years using autologous cartilage from the ipsilateral sixth to eighth ribs. Most surgeons make a multilayer framework, leaving a subcutaneous pedicle. Suction drainage was used in all patients. On average, the second stage was performed more than 6 months later using a mastoid flap. Most surgeons do not reconstruct the middle ear.Conclusions: Microtia reconstruction is performed in many different ways, with numerous treatment and postoperative possibilities.