頁籤選單縮合
題 名 | 耳朵外傷--十二個病例分析報告 |
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作 者 | 楊錦江; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 20:2 1987.03[民76.03] |
頁 次 | 頁109-118 |
分類號 | 416.41 |
關鍵詞 | 耳朵外傷; |
語 文 | 中文(Chinese) |
中文摘要 | 民國69年8月至75年3月,作者陸陸續續經歷了十二個較為嚴重的耳朵外傷病例。5例為部分斷離,而有組織缺損:一為狗咬傷,一為人咬傷,一為工作時受傷,一為外科手術傷口,另一例為車禍引起。其餘7例無組織缺損,皆因車禍併有頭部及顏面外傷:計有單純性裂傷3例,不完全撕裂傷4例。此7例皆經傷口清洗擴創後予以直接縫合,傷口癒合良好。至於有組織缺損的5例,人咬傷耳垂及外科手術耳輪腳傷口予以皮瓣重建,而兩例耳輪和對耳輪上部斷離缺損則行Mladick袋囊法修補。 |
英文摘要 | Secondary ear reconstruction with unsatisfactory results indicate. It is better to manage the acute injured ear well initially. Twelve patients with ear injury were reviewed, age 2 to 47 years, all male. The most common cause of the injury was traffic accident, with 8 cases (67%). The other etiologies include human bite, dog bite, industrial injury and surgical wound. All of the lacerations (3 cases) and partial avulsion (4 cases) wounds were treated by toilet and primary closure with rather good healing. The other 5 cases with tissue loss, were treated by local flap (2 cases), Mladick pocket principle (2 cases) with partial failure, and in one, the wound healed secondarily. It seems that adequate cleansing, conservative debridement and cartilage preservation, along with primary wound closure will solve most of the problems. For tissue amputation, composite graft will only be performed in ideal conditions, otherwise Mladick pocket procedure or temporalis fascial flap reconstruction in one stage was suggested. The history of injured ear management was reviewed and the experience of the author was discussed. |
本系統中英文摘要資訊取自各篇刊載內容。