UNASSIGNED: To innovate and introduce an surgery incision to solve the challenging clinical issue of a combined debridement of infection yet retaining a well vascularized skin flap for auricle reconstruction in patients with CMMOEI.
UNASSIGNED: A combined innovated incision of ear sulcus and prefabricated earlobe was used for 23 cases (23 ears) with CMMOEI, The success in the management of the encountered infections, and the short and moderate-term outcome of the innovated incision to preserve a well-vascularized skin flap for subsequent auricle reconstruction were reviewed. The 23 cases include 10 males and 13 females, aged 4-14 years (mean 8.4 years), 7 left ears and 16 right ears. 14 ears stenosis and 9 ears atresia of the outer ear canals.
UNASSIGNED: In all 23 cases, the infections were successfully cleared without recurrence or complication with 2-year follow-up. The local skin flap and its blood supply were well preserved for subsequent auricle reconstruction.
UNASSIGNED: The new incision can facilitate clearance of infection in CMOMEI patients, and preserve the retroauricular tissues for subsequent harvesting of a well-vascularized skin flap for subsequent auricle reconstruction.
■创新并引入手术切口,以解决CMMOEI患者合并感染清创的临床难题,同时保留血管化良好的皮瓣进行耳廓重建。
■23例CMMOEI采用耳沟和预制耳垂组合切口,成功地管理了所遇到的感染,并回顾了创新切口的短期和中期结果,以保留血管化良好的皮瓣用于随后的耳廓重建。这23例病例包括10名男性和13名女性,4-14岁(平均8.4岁),7只左耳和16只右耳。14耳狭窄,9耳外耳道闭锁。
■在所有23种情况下,2年随访,成功清除感染,无复发或并发症.局部皮瓣及其血供保存完好,可用于后续耳廓重建。
■新切口可以促进CMOMEI患者感染的清除,并保留耳后组织,以便随后收获血管化良好的皮瓣,以进行随后的耳廓重建。