Otoplasty yog yas yas kom kho pob ntseg. Nws tau ua kom kho lub pob ntseg ntawm lub pob ntseg nrog kev pab ntawm ib qho kev phais mob cuam tshuam rau nws cov pob txha mos thiab cov nqaij mos. Txoj haujlwm no ua tiav rau menyuam yaus thiab neeg laus. Tab sis nws yuav tsum tau muab sau tseg tias autoplasty feem ntau pom zoo rau cov menyuam yaus (txij li 6 xyoo) thiab cov tub ntxhais hluas, vim tias muaj tej yam tsis zoo ntawm lub auricle (lop-ears, ear lobe defects, etc.) tuaj yeem coj tus me nyuam mus rau txhua hom kev sib txawv.
Muaj 2 hom mob otoplasty:
1. Kab phais zoo nkauj (tus kws phais plawv hloov xwb qhov hloov ntawm pob ntseg).
2. Reconstructive otoplasty (ib tus kws phais plog ua ib qho lossis tag nrho cov ploj (auricle).
Nyob rau hauv li cas mob kws kho mob muab ib tug yas ua haujlwm rau hauv pob ntseg? Cov kev qhia:
- loob-pob ntseg;
- tsis hnov lus zoo nkauj;
- pob ntseg lobe defect;
- lub kaum ntse ntse loj ntawm nruab nrab ntawm pob ntseg thiab lub cev nqaij daim tawv;
- Lub ntsej muag ntawm lub pob ntseg thiab antifloric ua ntej;
- ib nrab / tiav tsis muaj pob ntseg.
Otoplasty yog txwv tsis pub rau cov neeg mob oncologically, zoo li rau cov neeg uas muaj teeb meem nyob rau hauv tus txheej txheem ntawm cov ntshav khau.
Otoplasty txoj kev
Ua ntej txoj yas ua haujlwm ntawm pob ntseg, tus neeg mob tau mus kuaj tiav. Yog tias tsis tas nws yuav tsum tau kuaj, ntshav rau qab zib, los txiav txim seb qhov ntev npaum li cas thiab qhov kawm tau sai npaum li cas ntawm kev coagulation ntshav. Tus neeg mob yuav tsum tau qhia rau tus kws kho mob txog cov mob uas nws tau ntsib thaum nws lub neej. Ntxiv rau, tus kws kho mob pom tias muaj kev tsis haum tshuaj rau qee yam tshuaj.
Thaum phais, cov tshuaj loog siv rau hauv zos siv rau cov neeg laus, thiab tshuaj loog rau cov menyuam yaus. Cov tswv yim thiab cov tswv yim siv hauv otoplasty yog qhov txawv txav thiab nyob ntawm qhov teeb meem tshwj xeeb. Txhua tus kws phais neeg yas, raws li nws lub peev xwm, tus kheej kev paub, cov tswv yim hais txog cov kev xav ntawm lub auricles xaiv cov txheej txheem ntawm kev phais yas rau ntawm pob ntseg.
Tam sim no, feem ntau uas siv cov tswv yim ntawm otoplasty yog raws li cov dabtsi yog khoov ntawm cov ntaub so ntswg cartilaginous. Ib pob hlab ntim rau sab nraub qaum ntawm pob ntseg. Tom qab ntawd cov pob txha mos yog muab faib, thiab nws yog bent rau hauv qhov tsim nyog zoo rau lub auricle. Tom kawg ntawm tus txheej txheem, cov seams yog siv.
Reconstructive otoplasty yog ntau nyuab los ntawm nws txoj kev, txij li nws yog nqa tawm nyob rau hauv 2 theem:
1 theem. Tus kws phais tas ua ib lub thawv ntim thiab ua rau cov pob txha mos tau npaj ua ntej.
2 theem. Yog tias cov pob txha mos muaj sia nyob tau zoo, daim tawv nqaij npog cov pob txha tsheb npog muab tshem tawm ntawm cov tawv nqaij thiab qhov tsim nyog ntawm cov auricle yog tsim thaum lub sijhawm txiav txim. Kev txiav yog ua rau sab nraud ntawm lub pob ntseg, ces cov ntaub so ntswg cartilaginous yog cov tshem tawm thiab txiav los ntawm tus kws phais. Thaum kawg, cov nqaws dej yog qhov siv kom lub pob ntseg nyob ntawm lub pob txha taub hau dua ua ntej.
Feem ntau yog ib lub lag luam yas ntawm pob ntseg kav mus txog ob xuab moos. Tag nrho cov haujlwm yog ua tiav los ntawm kev siv lub taub hau me nyuam taub hau. Tshaj cov ntaub qhwv ntsej muaj cov nplaum rau cov plaub hau. Tag nrho cov pob nteg tom qab thiab cov nti tom qab otoplasty tsis pom muaj, vim lawv nyob hauv ib lub tais nyob sab nraud ntawm pob ntseg. Kev phais yas rau ntawm pob ntseg tsis muaj kev cuam tshuam rau kev hnov lus.
Rehabilitation tom qab otoplasty
Feem ntau, tom qab hom tshuaj phais plab, tsis muaj nyob hauv qhov chaw kho mob yuav tsum tau txhaj. Thawj ob peb hnub tom qab otoplasty yuav ua kev mob plab. Tsis tas li ntawd, tej zaum yuav muaj mob heev, uas yog muab tshem tawm nrog cov tshuaj loog ua ke. Txhua 2-3 hnub rau 2 lub lis piam ib tus neeg mob xav tau mus rau tom qhov chaw kho mob rau cov khaub ncaws tsis tu ncua. Qhov no tseem yuav cia tus kws kho mob saib xyuas qhov kev kho zoo. Feem ntau, tom qab otoplasty, lub seams tsis raug muab tshem tawm, vim hais tias lawv tau nrog tshwj xeeb xov, yooj yim resorable. Tab sis yog hais tias cov seams raug nrog cov xaum tawg, ces lawv raug tshem tawm ntawm 8-10 hnub tom qab ua haujlwm. Rau 7 hnub tom qab kev phais plab ntawm pob ntseg, cov ntaub qhwv yuav tsum hnav rau qhov kho kom zoo ntawm qhov auricles. Hauv ob peb hnub koj tuaj yeem rov qab mus rau lub neej qub. Qhov tshwm sim ntawm otoplasty nyob rau lub neej.
Cov teeb meem tshwm sim tom qab otoplasty
Teeb meem tom qab otoplasty tshwm sim hauv tsuas yog 0, 5% ntawm tus neeg mob. Tab sis txawm nyob rau hauv cov neeg mob ntawm deterioration, qhov tsis zoo ntawm lub rooj sib hais tsis txo. Cov teeb meem muaj xws li:
- Tawm ntawm pob ntseg;
- tsim ntawm coarse nti;
- kev txhawb nqa;
- kev sib koom ua ke.