Ear Reconstruction Surgery 耳再造
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- Ear Reconstruction Surgery 耳再造
别名
全耳再造、耳廓再造术
项目介绍
耳再造,是针对耳部轮廓先天不足,或缺少外耳等情况,进行的手术修整;其手术方式是,采用自体肋软骨或人工材料,替代耳部软骨支架,从而恢复耳部形态的手术。
项目特色
能够改善小耳畸形、耳缺损等情况,再造耳效果逼真。
功效
耳部美化,耳部塑形,重塑耳廓
适合人群特征
外耳缺失
适合人群
耳部轮廓先天不足者; 小耳畸形者; 缺少外耳者。
关注度
⭐⭐
安全度
⭐⭐⭐⭐
复杂度
⭐⭐⭐⭐⭐
项目优点
来源于自身肋软骨,无排异反应; 肋软骨造耳是早期耳再造技术,运用临床经验丰富; 术后耳部破损可自动修复。
项目缺点
多次治疗,耗时久。
禁忌人群
高血压、心脏病、糖尿病等患者; 有传染性疾病患者; 血液病过敏患者; 瘢痕增生体质患者; 月经期、妊娠期、哺乳期的女性; 6岁以下儿童。
留疤
无
麻醉方式
全麻
治疗周期
2-4次
操作方式
手术
效果持续
持久
恢复时间
3-6 个月
操作人员资质
医疗美容科或整形科执业医师
疼痛感
中度疼痛
术前必读
- 先天性小耳畸形患者,最佳的手术时机,为学龄前(6-7岁);
- 外伤后严重耳廓缺损患者,宜在伤后至少6个月,方可行手术。
0天~90天第一期注水
恢复提示:耳后正常皮肤下,放置扩张期,放置50毫升肾形扩张器,手术后8天,开始注水扩张。
护理方法:
每周三次,每次相隔一天,一般为一个月时间,量为60-80毫升。
91天~270天第二期支架雕刻和植入
恢复提示:支架雕刻和植入,时间为两周左右。
护理方法:
一般术后1月、3月、6月、一年到医院复查。
271天~360天治疗期
恢复提示:耳甲腔再造,耳屏再造。
护理方法:
- 术后再造耳需严格保护,一年内睡软(海绵)枕;
- 防止外伤、碰撞及蚊虫叮咬等;
- 耳部如有渗液、流脓、红肿及钛丝、耳软骨外露等,及时到医院复查治疗。
温馨提醒
以上术后护理仅供参考。因个体差异、采用术式不同,恢复周期、拆线时间及护理方法均会有所不同。具体护理方案,建议遵医嘱执行。
耳再造什么时候可以开始治疗?
从心理和生理两个方面考虑,开始治疗的最早时间是六岁左右;因为从心理上讲,这个时候孩子开始意识到自己耳朵的问题,心理开始受到影响;从生理上讲,这个时候的孩子正常耳廓,已经达到成人的90%以上,而且肋软骨的发育,多数也达到了再造耳廓的需要;具体来讲,需要孩子身高在120cm左右;在术前医生会进行肋软骨的检查,以进行相对准确的判断;要注意,六岁左右只是开始治疗的最早时机,并不意味着过了这个年龄,就错过手术时机了。
耳再造手术的原理是什么?
耳再造手术,是利用扩张后的耳区皮肤薄,而增大面积的特点,提供了良好的再造耳皮瓣;采用自体肋软骨,按照侧耳形态,雕刻软骨支架,并利用小块软骨,叠加于耳廓支架后方,使再造耳具有耳甲腔明显,形态逼真,立体感强的耳廓外形。
耳朵畸形的原因有哪些?会遗传吗?
一般认为,怀孕早期的异常事件,如病毒感染、服药、精神刺激等,或是经历过辐射、环境污染等,会引起小耳畸形;但目前的研究表明,没有一种因素能起主导作用;当前的研究表明,小耳畸形是散发、随机事件;并且其亲属中复发率仅为5%,也就是说基本上不会遗传。 耳再造后对听力有影响吗?
耳再造是对耳部轮廓先天不足或缺少外耳等情况,进行的手术修复;手术并不会对听力造成影响,因为手术是对耳缺损进行修复和重造,并不会影响到内耳的正常听力活动。
Alias Name
Lip Revision Surgery, Lip Repair Surgery
Procedure Detail
Lip repair is to repair lips problems, cleft lip and palate deformity, hemifacial dysplasia and congenital deformities by genetic factors, burns scar, trauma surgery and lip tattoos, etc., which cause unpleasant lip shape; Lip repair surgery can truly achieve the purpose of correction and beautification and restore the beauty of the lip shape
Features
Long-lasting improvement of lip deformities and defects, restore lip function, and restore natural beautiful lip shape.
Benefits
Lips restore, lips repair.
Recommended
Unpleasant lip shape, cleft lip, congenital deformity lips; congenital lateral facial clefts, lateral cleft lip and macrostomia.
Suitable Candidate
Congenital lateral facial clefts, lateral cleft lip and macrostomia, lip scars, lip deform
Popularity
⭐⭐⭐✩✩
Safety
⭐⭐⭐✩✩
Complexity
⭐⭐⭐✩✩
Pros
Long-Lastingly improvement on lip deformities and defects and restore beautiful lip shape; restore lip function and restore natural lips; make one feel more confident and smile brighter.
Cons
In the early postoperative period, eating will be affected, and only liquid food can be taken; the operation has a certain tissue recovery cycle, which requires a lot of patience; postoperative complications may occur, such as lip hematoma, infection and inflammation.
Unsuitable Candidate
Patients with local acute inflammation and systemic infectious diseases; those during pregnancy and menstruation; those who take steroid hormones and aspirin for a long time; there with oral ulcers and folliculitis on the lips, and patients with infections should delay surgery.
Scar
No
Anesthesia Method
Local or general anesthetic
Treatment Course
Single Time
Procedures Technique
Surgery
Sustainability
Permanent
Recovery Period
3-6 months
Qualification
Practitioner in medical aesthetics or plastic surgeon
Pain Scale
Mild
Before the Procedure
- Maintain oral hygiene and gargle with mouthwash solution. If you have gums or periodontal disease, surgery should be done after treatment.
- If there is herpes or erosions on the lips of the skin, proper treatment is required first.
- Before the operation, there should be no fever, cough, runny nose, symptoms of upper respiratory tract infection, best to eliminate the influence of various unfavorable factors during the operation.
- Routine check-up is required before surgery.
- Do not put on makeup before surgery.
- Women should avoid menstruation and pregnancy.
0-3rd days
Severe swelling period from 0 days to 3 days Recovery Tips: Generally, the dressing is not wrapped after operation, and the incision is sutured and applied with antibiotic ointment.
Aftercare methods:
Liquid diet for 3 days after operation.
Oral antibiotics for one week to prevent infection.
Use mouthwash solution, 4-6 times a day, and pay attention to oral hygiene.
4-6th days
4 to 6 days rapid swelling period Recovery Tips:
At this time, the swelling is still obvious and there will be mild pain.
Caring methods:
Take vitamin C and antiviral drugs orally for 5 days after the operation.
Avoid foods, mainly spicy, hot irritating foods and raw garlic, raw onions, peppers, etc.; in addition, do not eat peanuts, sunflower seeds, Seafood and other foods.
7th days
7 days for the stitches to be removed. Recovery Tips:
7 days for the stitches to be removed at the hospital (because the procedure is different, the stitches must be removed at the hospital at the time of the doctor’s order).
Aftercare methods:
- Keep the wound clean to prevent infection.
- Within 24 hours after the stitches are removed, the wound should not be exposed to water.
- Do not rub the wound vigorously. You can apply scar ointment to lighten the scars.
- Opt for a light diet and no spicy food.
8-15th days
Recovery tips:
The swelling is reduced quickly, and there is almost no other discomfort.
Aftercare methods:
- One week after the stitches are removed, start topical silicone scar ointment for about 3 months.
- Try to avoid laughing, talking too much, etc. within 3 months after surgery.
- For individuals scar hyperplasia, local injection of steroids or CO2 laser can be used for treatment.
16-30th days
16 to 30 days tissue recovery period. Recovery tips:
It is not the final result, wait patiently for full recovery.
Aftercare methods:
- Drinking, smoking, bathing, and sauna bathing are prohibited within one month after surgery.
31-90th days
31 days to 90 days stable period. Recovery Tips:
The effect is gradually more obvious, showing a better state.
Care methods:
- The scar gradually fades, and there is basically no trace of surgery after putting makeup; 3-6 months to fully recover.
Reminder
The above postoperative care is for reference only. Due to individual differences and different surgical procedures, the recovery cycle, suture removal time and aftercare methods will be different. The specific plan is to follow the doctor’s advice.
FAQ 常见问答题
Lip reconstruction may be required after trauma or surgical excision. The goals of lip reconstruction are both functional and aesthetic, and the surgical techniques employed are often overlapping. The aesthetic goals of lip reconstruction are to provide adequate replacement of external skin while maintaining the aesthetic balance of the vermiliocutaneous junction and lip aesthetic units. The functional goals of lip reconstruction are to maintain intraoral mucosal lining and to preserve the surface area of the oral aperture. Lip revision surgery is also requested by patients who had previous lip enhancements that are too full, contain scar tissue or infection from previous surgeries.
常见的唇部修复方法有:1.红边缘不齐:见于外伤后疤痕错位愈合,或是唇裂首次整形时,唇红缘定点不准确造成错位愈合;简单的边缘不齐,可用直接切除缝合或Z成形术的方法调整;2.红部分缺口:见于唇红手术时,切除组织过多或对合不良,个别人也为先天性不全唇裂所致,较小的缺口可采用V切口Y缝合,将口腔内粘膜推进至缺口,进行矫正;如缺口较大,则需用下唇唇红作游离移植,或带蒂转移进行整容了;3.唇弓不明显:缺乏上唇美观弧度,可在唇红缘上方两侧,各切除三角形皮肤组织一条,然后将唇红粘膜略加分离,用细尼龙线缝出唇蜂、唇谷;此法适用于唇红狭窄、嘴唇过薄、上唇皮肤过多、过高等,术后三个月缝合的疤痕可不明显,如为女性,涂上口红则完全可以掩盖。
Yes, but the repair method depends on the degree of the patient’s lip defect: 1. Lip defect does not exceed one-third: surgery can use the remaining lip tissue to repair the lip; 2. Lip defect More than half: nasolabial fold tissue flaps or contralateral tissue flaps should be considered for cross transfer; if patients have more than half of the defect in the middle of the upper lip, the upper lip nasolabial fold flap can be used to repair the upper lip; 3. If the defect exceeds two-thirds, the lip and cheek tissue flaps should be rotated and repair the total lower lip defect; 4. Severe lip defect: Reconstruction of the lip defect is required; if the patient has only one defect on the upper or lower lip, it is required Use the upper or lower lip to transfer the lip tissue up or down to repair.
可以,但是其修复的方法,要根据患者唇部缺损的程度而定的:1.唇部缺损不超过三分之一:手术可利用唇部剩余的唇部组织进行修补;2.唇部缺损超过二分之一:应考虑使用鼻唇沟组织瓣,或对侧组织瓣交叉转移;患者若是上唇中部缺损超过二分之一,可采用上唇部肿瘤鼻唇沟皮瓣修复术;3.唇部缺损超过三分之二:应采用唇颊组织瓣旋转推进,修复全下唇缺损;4.唇部完全缺损:需实施唇缺损再造手术;如果患者上唇或下唇仅有一侧缺损,则需用上唇或下唇一侧唇组织向上或向下转移修复即可。
It depends on individual. Many patients seek lip enhancement procedures to achieve a fuller appearance to thinning lips and to correct tiny vertical lines that appear with age. However, it can be disappointing If these goals were not achieved and now require further surgical procedures. Do consult a certified facial plastic surgeon who can easily correct lip enhancement procedures that went wrong
祛除唇部疤痕的方法有:1.皮瓣移植法:皮瓣是自体带血液供应的一块皮肤及皮下组织,从身体的一个部位切取后,移植到另一部位,皮瓣移植后建立新的血液循环,并保持活力和功能;2.切除直接缝合:适用于范围较窄小的唇部疤痕;3.皮片移植:切取自身皮片,用于修复较大的唇部疤痕,切除后的创面;这三种方法,具体哪种较为适合,可以根据自身实际情况.
Patients may experience side effects including swelling and/or bruising for a couple of days after treatment. Complications of plastic surgery include: scarring. poor wound healing or scarring. Just make sure oral hygiene is well kept. Consume only liquid food for the first week.
唇部修复可能引发的并发症有:唇部血肿、感染发炎;并且,在术后嘴唇会肿胀得较厉害,约有1周左右的时间,需进食温凉的食物,以半流质为佳。