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1 临床资料 男9例,女3例,年龄12～58岁。8例为车祸,酒后跌伤;3例为炸伤;1例为咬伤。伤后就诊时间为1～12个小时。耳廓全撕脱4例;皮肤软骨广泛撕裂8例,其中仅有3cm宽的皮瓣相连于面颅者2例;耳廓粉碎性破裂2例;单纯耳廓伤6例。 2 治疗方法 在积极治疗其他部位外伤的同时,在全麻或局麻下进行清创缝合,伤口先用3％双氧水清洗,然后再用生理盐水清洗,彻底去除污物,用6-0线进行缝合。根据耳廓损伤程度可采取(1)取耳后或颈部及皮肤作皮瓣转折覆盖断耳耳廓后部软骨再植;(2)清创后直接耳廓周围缝合;(3)保留相连皮瓣缝合耳廓;(4)术后敷料复盖,应用抗生素及血管扩张药,并严密观察。
1 clinical data of 9 males and 3 females, aged 12 to 58 years. 8 cases of car accident, fall injuries after drinking; 3 cases of wounds; 1 case of bites. Injury treatment time is 1 to 12 hours. A total of 4 cases of auricle avulsion; extensive cartilage tear in 8 cases, of which only 3cm wide flap connected to the surface of the skull in 2 cases; comminuted rupture of the ear in 2 cases; simple auricle injury in 6 cases. 2 treatment active treatment of other parts of the trauma at the same time, under general anesthesia or local anesthesia debridement and suture, the wound first with 3% hydrogen peroxide cleaning, and then washed with saline to completely remove the dirt, with 6-0 line Stitched. According to the degree of auricle injury can be taken (1) after the ear or neck and skin flap flap covering the posterior auricular posterior cartilage replantation; (2) debridement after direct auricle suture; (3) Flap suture auricle; (4) postoperative dressing cover, the application of antibiotics and vasodilators, and close observation.