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

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

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

1.	庄洪兴, 蒋海越, 潘博. 先天性小耳畸形的皮肤软组织扩张器法外耳再造术[J].中华整形外科杂志, 2006, 22(4):286-289.
2.	张晋光, 何乐人, 庄洪兴, 等. 耳廓再造术中扩张皮瓣破溃感染的预防和处理[J].中国美容医学, 2010, 19(3):410-413.
3.	李柱, 马显杰, 易成刚. 皮肤软组织扩张器置入术后感染及外露并发症的防治[J].中国美容医学, 2008, 17(2):190-191.
4.	汪良能. 整形外科学[M].北京:人民卫生出版社, 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. 国人耳廓发育调查-兼论外耳再造的年龄选择[J].中华整形烧伤外科杂志, 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, 沈广萍. 应用皮肤软组织扩张器患者的护理[J].护理实践与研究, 2008, 5(1):34-35.
9.	马少林, 黄进军, 董祥林, 等. 自体肋软骨移植全耳再造15例临床分析[J].新疆医科大学学报, 2009, 32(1):42-44.
10.	杨晓惠, 李健宁. 实用整容外科手术学[M].北京:人民卫生出版社, 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, 蒋海越, 庄洪兴, 等. 皮肤定量扩张法在耳廓再造中的应用及并发症的处理[J].中华整形外科杂志, 2009, 25(4):254-257.
13.	苏法仁, 丁静华, 薄琳. 皮肤软组织扩张术在外耳再造中的应用[J].中国耳鼻咽喉头颈外科, 2009, 16(9):500-502.
14.	杨巧. 皮肤软组织扩张技术应用于耳廓再造的临床研究[D].北京:北京协和医学院, 2014.http://cdmd.cnki.com.cn/Article/CDMD-10023-1014348313.htm.
15.	牟莉, 吴启侠, 姜海霞, 等. 扩张法外耳再造术常见并发症原因分析和护理对策[J].中华耳科学杂志, 2015, 13(1):183-186.
16.	鲁开化, 艾玉峰. 皮肤软组织扩张术[M].北京:金盾出版社, 1991:23.
17.	陈咏梅, 刘争, 黄文姣. 自体肋软骨移植全耳廓再造术的护理[J].华西医学, 2014, 29(12):2347-2349.

1. 庄洪兴, 蒋海越, 潘博. 先天性小耳畸形的皮肤软组织扩张器法外耳再造术[J].中华整形外科杂志, 2006, 22(4):286-289.
2. 张晋光, 何乐人, 庄洪兴, 等. 耳廓再造术中扩张皮瓣破溃感染的预防和处理[J].中国美容医学, 2010, 19(3):410-413.
3. 李柱, 马显杰, 易成刚. 皮肤软组织扩张器置入术后感染及外露并发症的防治[J].中国美容医学, 2008, 17(2):190-191.
4. 汪良能. 整形外科学[M].北京:人民卫生出版社, 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. 国人耳廓发育调查-兼论外耳再造的年龄选择[J].中华整形烧伤外科杂志, 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, 沈广萍. 应用皮肤软组织扩张器患者的护理[J].护理实践与研究, 2008, 5(1):34-35.
9. 马少林, 黄进军, 董祥林, 等. 自体肋软骨移植全耳再造15例临床分析[J].新疆医科大学学报, 2009, 32(1):42-44.
10. 杨晓惠, 李健宁. 实用整容外科手术学[M].北京:人民卫生出版社, 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, 蒋海越, 庄洪兴, 等. 皮肤定量扩张法在耳廓再造中的应用及并发症的处理[J].中华整形外科杂志, 2009, 25(4):254-257.
13. 苏法仁, 丁静华, 薄琳. 皮肤软组织扩张术在外耳再造中的应用[J].中国耳鼻咽喉头颈外科, 2009, 16(9):500-502.
14. 杨巧. 皮肤软组织扩张技术应用于耳廓再造的临床研究[D].北京:北京协和医学院, 2014.http://cdmd.cnki.com.cn/Article/CDMD-10023-1014348313.htm.
15. 牟莉, 吴启侠, 姜海霞, 等. 扩张法外耳再造术常见并发症原因分析和护理对策[J].中华耳科学杂志, 2015, 13(1):183-186.
16. 鲁开化, 艾玉峰. 皮肤软组织扩张术[M].北京:金盾出版社, 1991:23.
17. 陈咏梅, 刘争, 黄文姣. 自体肋软骨移植全耳廓再造术的护理[J].华西医学, 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

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content