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目的评估囊肿壁软骨切除术治疗耳廓假性囊肿的疗效。方法选择合适患者22例(共23耳)行门诊手术;局部麻醉下经囊肿最隆起处做切口,切开皮肤,分离暴露囊肿腹侧软骨膜及软骨,一并全部切除;再将囊肿背侧软骨做筛状开窗切除,依创腔大小酌情留置引流物;间断缝合切口,加压包扎。结果全部患者均一期愈合。其中耳廓外形无改变者19例,耳廓外形稍有皱缩者1例,术后48 h创腔再度积液,经及时处理后痊愈者2例。结论手术治疗耳廓假性囊肿,方法切实可行,但具体操作术式种类繁多,值得商榷,重在防止术后并发症发生。
Objective To evaluate the efficacy of cyst wall excision for auricle pseudocyst. Methods Twenty-two patients (23 ears) were selected for outpatient surgery. Under the local anesthesia, the maxillary incision of the cyst was made. The skin was excised and the perichondrocytes and cartilage were exposed. All the cysts were dorsal Cartilage sieve window to do resection, depending on the size of the wound cavity indwelling drainage; intermittent suture incision, pressure bandaging. Results All patients were healed one time. Among them, 19 cases had no changes in the shape of the auricle, 1 case had a slight shrinkage in the shape of the auricle. The wounds were re-fluidated 48 hours after operation, and 2 cases recovered after timely treatment. Conclusion Surgical treatment of auricle pseudocysts, the method is feasible, but a wide range of specific surgical procedures, is debatable, focusing on preventing postoperative complications.