Congenital malformations of ear plastic surgery in the perioperative nursing.doc

 PAGE \* MERGEFORMAT 10 Congenital malformations of ear plastic surgery in the perioperative nursing [Keywords:] children, ear deformities, surgery, plastic surgery, perioperative nursing Congenital ear malformations, including microtia, the ear cup deformity, hidden jug ears ear deformities and malformations. Must be given some or all of plastic surgery to restore the ear shape, want to restore some hearing. Auricle deformity early elimination, but also development conducive to physical and mental health patients, early elimination of inferiority complex, smooth entry into the school, participate in group activities, easy-to-be groups receiving [1]. our department in January 2005 ~ December 2007, the carry out the “Tomorrow Plan” and the “poverty Family relief operations for children with disabilities “, were treated in patients with congenital ear deformities, 14 cases now reported as follows perioperative nursing. 1 Clinical data The group of 14 cases, 12 males and 2 females, aged 4 to 14 years old, 10 cases of unilateral deformity, bilateral abnormalities in 4 cases, 10 cases of microtia, the ear cup deformity in 4 cases. Microtia cases , 1 2 patients, grade 2 in 5 cases, 3 cases of grade 3. goblet microtia cases, mild in 3 cases, moderate in 1 case. surgical method: aged lt;6 years were 6 cases of microtia, the line I of the external auditory canal tympanoplasty, agedgt; 6 years in 4 cases of microtia patients, the line over the same period ear canal tympanoplasty two cases, I implantation of tissue expander two cases, cup-ear deformity in 4 patients line the ear profile angioplasty, which uses “VY” marching method in 2 cases, the ear lobe ear cartilage shaping method in 1 case, ear reconstruction with autologous rib cartilage stent in 1 case. 2 Results Ear reconstruction in 6 cases all survived, no flap necrosis. Form significantly improved patient satisfaction achieved in 4 cases, smaller ear shape, poor shape, not satisfied pati