摘要
目的探索外伤后耳轮部分缺损的修复方法。方法对21例外伤后耳轮部分缺损的患者应用耳后乳突皮瓣进行二期修复。I期手术前评估耳郭前面及后面组织缺损面积，根据缺损大小设计、形成蒂在后的耳后乳突区皮瓣，将缺损耳郭后缘皮肤与耳后乳突区切口缝合，形成耳后一整体创面，将耳后皮瓣向前推进缝合于耳郭前层皮肤。I期术后6周行Ⅱ期手术，耳后皮瓣断蒂，皮瓣折叠形成耳轮，继发创面直接缝合或另切取皮片植皮修复。结果21例患者皮瓣全部成活，无血运障碍、感染及坏死等并发症发生。再造耳轮轮廓清晰，外形良好，再造耳与健侧基本对称。随访2个月-1年，效果良好。结论应用耳后乳突皮瓣二期修复耳轮部分缺损是一种安全有效的办法。
Objective To explore the method of repairing segmental ear helix defect. Methods Twenty-one patients with segmental ear helix defect were repaired with post-auricular skin flap. In the first stage operation, ear helix defect was assessed, including the anterior and posterior area defect. According to the defect, post-auricular skin flap was designed and transplanted to repair the defect. Six weeks later, the pedicle of the post-auricular skin flap was cut off, elevated, and folded to form the helix. The secondary defect was directly sutured or repaired with skin graft. Results Twenty-one patients were treated with this method. In two to 12 months follow-up, all flaps survived and reconstructed ear helices were in good shape. The reconstructed ears were in symmetry to the healthy ones. Conclusion The method is safe and effective for the correction of segmental ear helix defect.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2012年第6期491-492,共2页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词
耳畸形
获得性
修复外科手术
外科皮瓣
Ear deformities, acquired
Reconstructive surgical procedures
Surgical flaps
