摘要
目的探讨耳后筋膜瓣在耳再造二期颅耳角成形中的临床应用效果。方法对39例先天性小耳畸形患者采用一期埋植自体肋软骨支架后6~12个月行二期颅耳角成形术。术中耳后支撑支架9例应用硅橡胶,30例应用自体肋软骨。术中1例采用同侧颞浅筋膜瓣,38例使用同侧耳后筋膜瓣包被耳后支撑支架。结果患者均获随访,随访时间6~45个月。39例植皮全部成活,术后患者颅耳角角度与健侧接近。结论在耳再造二期手术中,由于耳后筋膜瓣血供可靠,创伤小,效果好,是包被耳后支撑支架的良好选择。
Objective To explore the clinical effect of postauricular fascial flap as the materials to cover the postauricular-frame auricular reconstruction.Methods From June 2007 to September 2011,the second stage elevation of the reconstructed auricle was performed at 6-12 months after the first stage total auricular reconstruction for 39 cases.Nine cases of silicone rubber were applied to elevate auricle,30 cases of autogenous costal cartilage.Homolateral temporoparietal fascical flap was used to cover the postauricular-frame in 1 patient,and the homolateral postauricular fascial flap was used in the 38 patients.Results All the patients were followed up for 6-45 months.All of 39 cases of skin graft were survival.All the patients,reconstructed auriculocephalic angles were close to the normal side.Conclusion Due to reliable blood supply of postauricular fascial flap,small traumatic and good effect,postauricular fascial flap is a good choice for covering the postauricular-framework in the second stage reconstructed ear elevation.
出处
《安徽医学》
2012年第4期446-448,共3页
Anhui Medical Journal
关键词
耳再造
颅耳角成形
耳后筋膜瓣
Ear reconstruction
Ear elevation
Postauricular fascial flap
