Occurrence of postoperative complications of congenital microtia in children and Logistic regression analysis of influencing factors
Objective To explore the occurrence of postoperative complications in children with congenital microtia and to analyze the influencing factors by Logistic regression analysis.Methods The clinical data of 108 children with congenital microtia who received surgical treatment in Henan Plastic Surgery Hospital from April 2023 to April 2024 were collected for retrospective study.The occurrence of postoperative complications was recorded.Univariate and multivariate Logistic regression models were used to analyze the risk factors of complications after external ear reconstruction with modified Nagata method.Results There were 20 cases of complications after modified Nagata method external ear reconstruction surgery in 108 children with congenital microtia,including 4 cases of infection,8 cases of hematoma,2 cases of incision dehiscence,2 cases of cartilage stent exposure,2 cases of chronic otorrhea,and 2 cases of external auditory canal re-stenosis.The total incidence rate was 18.52％.Univariate analysis showed that age,chronic disease history,external auditory canal atresia grading,Marx typing,intraoperative blood loss,ear stent,and reconstructed ear morphology were related to the occurrence of complications in children with congenital microtia after external ear reconstruction surgery with modified Nagata method(P＜0.05).Multivariate analysis revealed that age＞10 years old,chronic disease,external auditory canal atresia grade D,Marx type Ⅲ,intraoperative blood loss＞50 mL,ear stent deformation and reconstructed ear roughness were all risk factors for postoperative complications in children with congenital microtia(P＜0.05).Conclusions The related complications of children with congenital microtia after external ear reconstruction surgery with modified Nagata method are related to age,chronic diseases,external auditory canal atresia grading,Marx typing,intraoperative blood loss,reconstructed ear morphology and ear stent.
万方数据
维普
