The Use of Hyperbaric Oxygen Therapy for Ear Reconstruction: A Case Series

Marcella Tirza Tulong, M. H. Oley, M. Oley, A. Sundoro, M. Faruk
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Abstract

Introduction: The unique anatomy of the ear makes the reconstruction more challenging. Microtia and auricula hematomas are deformities or defects that can occur in the ear. Treating traumatic injury and congenital malformations of the ears needs some technique and expertise. Hyperbaric Oxygen Therapy is an additional therapy that makes a significant contribution and is effective in wound healing. Case Series: In our first case, a 52-year-old man presented with a traumatic right cauliflower ear due to a traffic accident two weeks before hospital admission. The second case involves a boy 14-year-old who has a Microtia in the right ear with total ear construction performed using autologous costochondral cartilage techniques in a two-stage. Results: Both cases following hyperbaric oxygen therapy, yield good results with good scars, no sign of infection nor tissue necrosis Summary: The combination therapy of reconstructive surgery and administration of oxygen therapy gave satisfactory results in both cases. Five sessions of hyperbaric treatment showed promising results. There is no infection, rapid wound healing, and cessation of flap compromise.
高压氧治疗在耳部再造术中的应用:一个病例系列
耳部独特的解剖结构使重建更具挑战性。小耳肿和耳廓血肿是可能发生在耳内的畸形或缺陷。外伤性耳损伤和先天性耳畸形的治疗需要一定的技术和专业知识。高压氧治疗是一种额外的治疗方法,对伤口愈合有重要的贡献和有效的作用。病例系列:在我们的第一个病例中,一名52岁的男性在入院前两周因交通事故导致右花菜耳外伤性。第二个病例涉及一名14岁的男孩,他右耳有小耳畸形,采用自体肋软骨技术分两阶段进行全耳重建。结果:两例患者均行高压氧治疗,术后瘢痕良好,无感染及组织坏死征象。5次高压氧治疗显示出良好的效果。无感染,伤口愈合迅速,皮瓣受损停止。
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