CN106859848A - A kind of continuous negative pressure drainage device for skin expansion method total auricular reconstruction - Google Patents
A kind of continuous negative pressure drainage device for skin expansion method total auricular reconstruction Download PDFInfo
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- CN106859848A CN106859848A CN201710068911.1A CN201710068911A CN106859848A CN 106859848 A CN106859848 A CN 106859848A CN 201710068911 A CN201710068911 A CN 201710068911A CN 106859848 A CN106859848 A CN 106859848A
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- Prior art keywords
- drainage tube
- drainage device
- support
- auricular
- negative pressure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F11/00—Methods or devices for treatment of the ears or hearing sense; Non-electric hearing aids; Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense; Protective devices for the ears, carried on the body or in the hand
-
- A61M1/0023—
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/0213—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/0286—Holding devices, e.g. on the body anchored in the skin by suture or other skin penetrating devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0662—Ears
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- Biophysics (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Acoustics & Sound (AREA)
- Physics & Mathematics (AREA)
- Psychology (AREA)
- Otolaryngology (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Prostheses (AREA)
Abstract
The present invention relates to a kind of continuous negative pressure drainage device for skin expansion method total auricular reconstruction, include autologous costal cartilage Auricular framework and depression drainage device, depression drainage device includes independent depression drainage device I, depression drainage device II and depression drainage device III, depression drainage device I, depression drainage device II and depression drainage device III lead to support inner drainage tube, frame bottom drainage tube and drainage tube after support respectively, the diameter of support inner drainage tube is less than the diameter of frame bottom drainage tube, the diameter of the diameter less than drainage tube after support of frame bottom drainage tube；Support inner drainage tube is wound in after the ear of autologous costal cartilage Auricular framework ditch, navicula, fossa triangularis and cavity of concha and is passed through support lower section successively；Frame bottom drainage tube is placed in below the fossa triangularis of autologous costal cartilage Auricular framework, cavity of concha and is passed through support top；Drainage tube is placed in behind autologous costal cartilage Auricular framework after support.The present invention can effectively prevent art chamber hemotoncus and realize the perfect moulding of auricle.
Description
Technical field
The present invention relates to medical instruments field, and in particular to a kind of continuous negative pressure for skin expansion method total auricular reconstruction draws
Stream device.
Background technology
Auricle is one has the organ of high levels of three-dimensional solid shape, in total auricular reconstruction, can be by reasonable employment negative pressure
Drainage technology prevents from art chamber hemotoncus and realizing that auricle is moulding.
At present, the negative pressure drainage device for being used in total auricular reconstruction only have a drainage tube, and the drainage tube position
Set not reasonable, this causes the local oozing of blood, sepage can not to suction out in time, easily causes reconstruction auricular hematoma, the lighter's auricle
Cartilage frame exposes, severe one auricular cartilage support infection and necrosis.Therefore the use of negative pressure drainage device is played in total auricular reconstruction
Vital effect, if negative pressure drainage improper use can cause reconstruction, pinna shape is not good, impact effect.
Additionally, in the Chinese patent open source literature of Publication No. 201441497U, being used for present applicant has proposed one kind
The autologous costal cartilage Auricular framework of total auricular reconstruction, based on the autologous costal cartilage Auricular framework, exploitation is a kind of to be used for skin expansion method
The continuous negative pressure drainage device of total auricular reconstruction is effectively preventing from art chamber hemotoncus and realizing that auricle is moulding significant.
The content of the invention
The present invention is intended to provide a kind of continuous negative pressure drainage device for skin expansion method total auricular reconstruction is effectively preventing
Art chamber hemotoncus and realize that auricle is moulding.
Technical scheme is as follows：
A kind of continuous negative pressure drainage device for skin expansion method total auricular reconstruction, its include autologous costal cartilage Auricular framework and
Depression drainage device, depression drainage device includes independent depression drainage device I, depression drainage device II and depression drainage device III, negative pressure
Flow diverter I, depression drainage device II and depression drainage device III lead to support inner drainage tube, frame bottom drainage tube and support respectively
Drainage tube afterwards, the diameter of the diameter less than frame bottom drainage tube of support inner drainage tube, the diameter of frame bottom drainage tube is less than
The diameter of drainage tube after support.
Support inner drainage tube be fastened successively in ditch after the ear of autologous costal cartilage Auricular framework, navicula, fossa triangularis and
Cavity of concha is simultaneously passed through support lower section；The sepage at each position, oozing of blood in its primary drainage Auricular framework；After vacuum suction, expand
The surface that skin is close to auricular cartilage support is opened, beneficial to moulding, it is easier to the shape of auricle occur.Due to support inner drainage tube
Diameter it is minimum, it is wound in autologous costal cartilage Auricular framework, and the shape of reconstruction auricle is not interfered with after vacuum suction.
Frame bottom drainage tube is in turn secured to the fossa triangularis of autologous costal cartilage Auricular framework, cavity of concha and through support top
Pass；Its primary drainage Auricular framework Triangle ID nest, sepage of cavity of concha, oozing of blood；After vacuum suction, expansion skin is close to ear
The surface of wide cartilage frame, beneficial to moulding.
Drainage tube is placed in behind autologous costal cartilage Auricular framework after support；For subcutaneous behind drainage auricular cartilage support
Sepage, oozing of blood, in case subcutaneous formation hemotoncus behind auricular cartilage support, brings disaster to reconstruction auricle, the blood fortune of influence reconstruction auricle is made
Into reconstruction auricle necrosis.
The portion that above-mentioned support inner drainage tube and frame bottom drainage tube are placed has overlap, and auricular cartilage support
It is hollow out openwork carving engraving, each position is interconnected, if after a drainage pipe choking, another drainage tube can equally rise
To attraction and the moulding effect of auricle.
As more excellent scheme of the invention：
Above-mentioned support inner drainage tube is at ditch, navicula, fossa triangularis and cavity of concha after the ear of autologous costal cartilage Auricular framework
Fixation is included：
Support inner drainage tube passes through binding of the absorbability suture in anthelix bottom；
Support inner drainage tube passes through fixation of the absorbability suture in superior crura of antihelix position；
Support inner drainage tube passes through fixation of the absorbability suture in inferior crura of antihelix position.
Above-mentioned frame bottom drainage tube is included in the fixation of the fossa triangularis, cavity of concha of autologous costal cartilage Auricular framework：
Frame bottom drainage tube passes through binding of the absorbability suture in inferior crura of antihelix.
Absorbability suture in above-mentioned realized after through degraded support inner drainage tube, frame bottom drainage tube with it is autologous
Automatically disengaging for costal cartilage Auricular framework, facilitates the postoperative taking-up of support inner drainage tube and frame bottom drainage tube.
More preferably, support inner drainage tube is to enter fossa triangularis through the rear side of superior crura of antihelix, and through inferior crura of antihelix before
Side enters cavity of concha.
Frame bottom drainage tube enters fossa triangularis through the rear side of helix, and rear side through inferior crura of antihelix enters cavity of concha.
In the present invention, the design of three drainage tubes efficiently avoid art chamber hemotoncus, and can make flap by vacuum suction
Closely pasted with Autogenous cartilage framework, moulding perfect auricle；Three depression drainage devices be it is independent do not interfere with each other, be conducive to seeing
Examine the amount of the pressure size and drainage-fluid in each drainage tube.There is the tradition of single drainage tube in this and total auricular reconstruction field
Negative pressure drainage device is compared, and the present invention can more efficiently prevent from art chamber hemotoncus and realize the perfect moulding of auricle.Additionally, drainage tube
The taking-up of postoperative drainage pipe is very easy to by way of absorbability suture is fixed on Auricular framework（Absorbability suture
Being automatically separated for drainage tube and Auricular framework is being capable of achieving after degraded）.
Brief description of the drawings
The present invention is further illustrated below in conjunction with the accompanying drawings.
Fig. 1 is structural representation of the invention.
In figure, 1 autologous costal cartilage Auricular framework, 2 depression drainage devices, 2-1 depression drainage devices I, 2-2 depression drainage devices II,
Drainage tube, 4 frame bottom drainage tubes, 5 support inner drainage tubes, 6 cavities of concha, 7 naviculas, 8 after 2-3 depression drainage devices III, 3 supports
Fossa triangularis, 9 anthelixs, 10 superior crura of antihelix, 11 inferior crura of antihelix, 12 absorbability sutures.
Specific embodiment
Embodiment 1
As shown in Figure 1, the embodiment includes autologous costal cartilage Auricular framework 1 and depression drainage device 2, and depression drainage device includes
There are the independent 2-1 of depression drainage device I, the 2-2 of depression drainage device II and the 2-3 of depression drainage device III, depression drainage device I, negative pressure drainage
Device II and depression drainage device III lead to support inner drainage tube 5, frame bottom drainage tube 4 and drainage tube 3, support after support respectively
The external diameter of inner drainage tube is 2 mm, and internal diameter is 1.5 mm；The external diameter of frame bottom drainage tube is 3 mm, and internal diameter is 2mm；Support
The external diameter of drainage tube is 4 mm afterwards, and internal diameter is 3mm.
Support inner drainage tube is fastened in ditch, navicula 7, fossa triangularis 8 after the ear of autologous costal cartilage Auricular framework successively
（Support inner drainage tube enters fossa triangularis through the rear side of superior crura of antihelix）With cavity of concha 6（Support inner drainage tube is through inferior crura of antihelix
Front side enter cavity of concha）And passed through support lower section；Ear Hou Gou, boat of the support inner drainage tube in autologous costal cartilage Auricular framework
Fixation at shape nest, fossa triangularis and cavity of concha is included：Support inner drainage tube is by collagen absorbable suture to ear
Take turns the binding of bottom；Support inner drainage tube passes through fixation of the collagen absorbable suture in superior crura of antihelix position；Support
Inner drainage tube passes through fixation of the collagen absorbable suture in inferior crura of antihelix position.
Frame bottom drainage tube enters fossa triangularis through the rear side of autologous costal cartilage Auricular framework helix, through inferior crura of antihelix
Rear side enters cavity of concha, and is passed through support top；Fossa triangularis, ear of the frame bottom drainage tube in autologous costal cartilage Auricular framework
The fixation in first chamber is included：Frame bottom drainage tube passes through binding of the collagen absorbable suture in inferior crura of antihelix.
Drainage tube is placed in behind autologous costal cartilage Auricular framework after support.
The model " 6-0 " of foregoing collagen absorbable suture, collagen absorbable suture is meeting fixation
Under the requirement of drainage tube, it is thinner, and degradation speed is faster, and using effect is better.
Support inner drainage tube, frame bottom drainage tube and drainage tube uses silicone tube after support, and front end is equipped with 5-6
Individual aperture.
Claims (9)
1. a kind of continuous negative pressure drainage device for skin expansion method total auricular reconstruction, it is characterised in that：Include autologous rib soft
Bone Auricular framework（1）And depression drainage device（2）, the depression drainage device includes independent depression drainage device I（2-1）, negative pressure
Flow diverter II（2-2）With depression drainage device III（2-3）, III point of the depression drainage device I, depression drainage device II and depression drainage device
Support inner drainage tube is not led to（5）, frame bottom drainage tube（4）With drainage tube after support（3）, the support inner drainage tube
Diameter is less than the diameter of frame bottom drainage tube, the diameter of the diameter less than drainage tube after support of the frame bottom drainage tube；
The support inner drainage tube is fastened in ditch, navicula after the ear of autologous costal cartilage Auricular framework successively（7）, fossa triangularis（8）
And cavity of concha（6）And passed through support lower section；The frame bottom drainage tube is fixed on the triangle of autologous costal cartilage Auricular framework
Nest, cavity of concha are simultaneously passed through support top；Drainage tube is placed in behind autologous costal cartilage Auricular framework after the support.
2. the continuous negative pressure drainage device of skin expansion method total auricular reconstruction is used for according to claim 1, it is characterised in that：Institute
Stating fixation of the support inner drainage tube at ditch, navicula, fossa triangularis and cavity of concha after the ear of autologous costal cartilage Auricular framework includes
Have：The support inner drainage tube passes through binding of the absorbability suture in anthelix bottom；
The support inner drainage tube passes through fixation of the absorbability suture in superior crura of antihelix position；
The support inner drainage tube passes through fixation of the absorbability suture in inferior crura of antihelix position.
3. the continuous negative pressure drainage device for skin expansion method total auricular reconstruction according to claim 1 or claim 2, its feature exists
In：The support inner drainage tube enters fossa triangularis through the rear side of superior crura of antihelix, and front side through inferior crura of antihelix enters concha auriculae
Chamber.
4. the continuous negative pressure drainage device of skin expansion method total auricular reconstruction is used for according to claim 1, it is characterised in that：Institute
The fixation that frame bottom drainage tube is stated in the fossa triangularis, cavity of concha of autologous costal cartilage Auricular framework is included：The frame bottom
Drainage tube passes through binding of the absorbability suture in inferior crura of antihelix.
5. the continuous negative pressure drainage device of skin expansion method total auricular reconstruction is used for according to claim 1 or 4, and its feature exists
In：The frame bottom drainage tube enters fossa triangularis through the rear side of helix, and rear side through inferior crura of antihelix enters cavity of concha.
6. the continuous negative pressure drainage device of skin expansion method total auricular reconstruction is used for according to claim 2, it is characterised in that：Institute
Absorbability suture is stated for collagen absorbable suture.
7. the continuous negative pressure drainage device of skin expansion method total auricular reconstruction is used for according to claim 4, it is characterised in that：Institute
Absorbability suture is stated for collagen absorbable suture.
8. the continuous negative pressure drainage device of skin expansion method total auricular reconstruction is used for according to claim 1, it is characterised in that：Institute
State support inner drainage tube, frame bottom drainage tube and after support drainage tube using silicone tube, and front end be equipped with 5-6 it is small
Hole.
9. the continuous negative pressure drainage device of skin expansion method total auricular reconstruction is used for according to claim 1, it is characterised in that：Institute
The external diameter of support inner drainage tube is stated for 2 mm, internal diameter is 1.5 mm；The external diameter of the frame bottom drainage tube is 3 mm, internal diameter
It is 2mm；The external diameter of drainage tube is 4 mm after the support, and internal diameter is 3mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710068911.1A CN106859848B (en) | 2017-02-08 | 2017-02-08 | Continuous negative pressure drainage device for auricle reconstruction by skin expansion method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710068911.1A CN106859848B (en) | 2017-02-08 | 2017-02-08 | Continuous negative pressure drainage device for auricle reconstruction by skin expansion method |
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| Publication Number | Publication Date |
|---|---|
| CN106859848A true CN106859848A (en) | 2017-06-20 |
| CN106859848B CN106859848B (en) | 2023-09-12 |
Family
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710068911.1A Active CN106859848B (en) | 2017-02-08 | 2017-02-08 | Continuous negative pressure drainage device for auricle reconstruction by skin expansion method |
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Citations (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5433748A (en) * | 1991-12-04 | 1995-07-18 | Porex Technologies Corp. | Auricular implant |
| US5827212A (en) * | 1997-10-22 | 1998-10-27 | Gaskill; J. Richard | Splinting device for auricular hematoma |
| CN201441497U (en) * | 2009-05-14 | 2010-04-28 | 苏法仁 | Autologous costicartilage pinna frame |
| CN201996966U (en) * | 2010-12-10 | 2011-10-05 | 中国医学科学院整形外科医院 | Disposable auricle reconstituted plastic negative pressure drainage bottle |
| CN102357275A (en) * | 2011-09-02 | 2012-02-22 | 中国人民解放军第三军医大学第一附属医院 | Negative-pressure drainage device |
| CN202397868U (en) * | 2011-12-31 | 2012-08-29 | 巩艳玲 | Minimally invasive vacuum drainage apparatus |
| CN202802286U (en) * | 2012-09-27 | 2013-03-20 | 王丽鸣 | Postoperative suction drainage device of preauricular flstula |
| CN103040545A (en) * | 2012-12-20 | 2013-04-17 | 杭州电子科技大学 | Method for preparing individual integrally implantable auricular cartilage support by fast veneer gluing |
| CN202909266U (en) * | 2012-12-03 | 2013-05-01 | 曹莫 | Drainage device used after flap repair operation |
| CN203183085U (en) * | 2013-02-21 | 2013-09-11 | 赵作钧 | Ultrathin multi-hole silica gel ear support |
| CN103948457A (en) * | 2014-05-08 | 2014-07-30 | 上海交通大学医学院附属第九人民医院 | Method for constructing regenerated nerve vascularized bones, cartilages, joints or body surface organs |
| CN207286229U (en) * | 2017-02-08 | 2018-05-01 | 苏法仁 | A kind of continuous negative pressure drainage device for skin expansion method total auricular reconstruction |
-
2017
- 2017-02-08 CN CN201710068911.1A patent/CN106859848B/en active Active
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|---|---|---|---|---|
| US5433748A (en) * | 1991-12-04 | 1995-07-18 | Porex Technologies Corp. | Auricular implant |
| US5827212A (en) * | 1997-10-22 | 1998-10-27 | Gaskill; J. Richard | Splinting device for auricular hematoma |
| CN201441497U (en) * | 2009-05-14 | 2010-04-28 | 苏法仁 | Autologous costicartilage pinna frame |
| CN201996966U (en) * | 2010-12-10 | 2011-10-05 | 中国医学科学院整形外科医院 | Disposable auricle reconstituted plastic negative pressure drainage bottle |
| CN102357275A (en) * | 2011-09-02 | 2012-02-22 | 中国人民解放军第三军医大学第一附属医院 | Negative-pressure drainage device |
| CN202397868U (en) * | 2011-12-31 | 2012-08-29 | 巩艳玲 | Minimally invasive vacuum drainage apparatus |
| CN202802286U (en) * | 2012-09-27 | 2013-03-20 | 王丽鸣 | Postoperative suction drainage device of preauricular flstula |
| CN202909266U (en) * | 2012-12-03 | 2013-05-01 | 曹莫 | Drainage device used after flap repair operation |
| CN103040545A (en) * | 2012-12-20 | 2013-04-17 | 杭州电子科技大学 | Method for preparing individual integrally implantable auricular cartilage support by fast veneer gluing |
| CN203183085U (en) * | 2013-02-21 | 2013-09-11 | 赵作钧 | Ultrathin multi-hole silica gel ear support |
| CN103948457A (en) * | 2014-05-08 | 2014-07-30 | 上海交通大学医学院附属第九人民医院 | Method for constructing regenerated nerve vascularized bones, cartilages, joints or body surface organs |
| CN207286229U (en) * | 2017-02-08 | 2018-05-01 | 苏法仁 | A kind of continuous negative pressure drainage device for skin expansion method total auricular reconstruction |
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|---|
| 张涤生: "《整复外科基础与临床》", 31 January 2011, pages: 433 - 434 * |
| 薄琳，苏法仁，丁静华: "负压引流技术在外耳再造中的临床应用", 山东大学耳鼻喉眼学报, vol. 25, no. 6, pages 43 - 45 * |
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| CN106859848B (en) | 2023-09-12 |
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