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为什么小耳畸形修复术非常具有挑战性 谢洋春 中国医学科学院整形外科医院 耳廓畸形的矫正包括耳廓再造,东西是整形外科来讲是手术移植的最复杂的结构,它的手术步骤比较复杂对于组织皮瓣学,整个组织移植学都要求比较高,它的安全度相对的风险比较大。因为对于医生手术的技术包括,因为它是三维立体结构的重建,三维支架的雕塑和固定,然后固定之后皮瓣的覆盖,皮瓣的覆盖涉及到皮瓣的血运,闭合过程中的重建血管重塑,支架的重塑是安全性要求比较高,这个皮瓣的血运的结构,对于雕刻技术的要求也比较高,所以它的风险相对比较大。所以在整形外科里面,三维结构的重建是非常有难度,具有挑战性的工作,所以要有充分的经验对于解剖学、组织学、皮瓣学、组织移植学方面都要有充分的认识,这样的医生要有充分的临床经验才能进行耳廓的再造。 Why the repair of microtia is very challenging The correction of auricle deformity includes auricle reconstruction, Things are the most complex structures in plastic surgery, Its operation procedure is more complicated. For flap study, The requirements of tissue transplantation are relatively high, Its security is relatively high risk. Because for doctors, the techniques include, Because it's a reconstruction of a three-dimensional structure, Sculpture and fixation of three-dimensional supports, After fixation, the flap was covered, The flap coverage involves the blood supply of the flap, Reconstruction of vascular remodeling during closure, The reconstruction of scaffold requires high safety, The blood supply structure of this flap, The requirements for carving technology are also high, So it's relatively risky. So in plastic surgery, The reconstruction of three-dimensional structure is very difficult, Challenging work, Therefore, we should have sufficient experience in anatomy, histology, flap science and tissue transplantation, Such a doctor should have sufficient clinical experience to carry out auricle reconstruction.