摘要
目的探讨对侧耳舟软骨游离移植联合耳后乳突皮瓣，修复重度耳轮缺损的方法和应用。方法自2009年3月起，应用对侧耳舟软骨游离移植联合耳后乳突区皮瓣的方法，对14例耳轮缺损患者进行修复。I期耳舟软骨切取，耳轮形成；醐皮瓣断蒂修复。结果所有患者均获3—12个月随访。14例皮瓣全部成活，无血运障碍、感染及坏死等并发症发生；再造的耳轮轮廓清晰，耳轮外形良好，厚度、色泽与周围皮肤较为接近，瘢痕不明显；再造耳与健侧基本对称。结论采用对侧耳舟软骨游离移植联合耳后乳突皮瓣修复长段耳轮缺损，具有外形好，瘢痕不明显，再造耳与健侧基本对称的优点，值得临床推广应用。
Objective To explore the method and the application of repairing long helix defect by free grafting of the contralateral scaphoid fossa cartilage combined with postauricular skin flap. Methods Since Mar. 2009, 14 cases repaired by the contralateral scaphoid fossa cartilage combined with postauricular skin flap. The contralateral scaphoid fossa cartilage was harvested primarily to form the helix and then the flap was cut to repair secondarily. Results After a routinely follow-up of 3 to 12 mouths, 14 flaps survived completely without any complications, like blood disorder, infection and necrosis. The reconstructed helixes were good with clear con- tour, slight scar and symmetry to the healthy ones, the thickness and color of it was almost the same with periph- eral skin. Conclusion The method of repairing long helix defect by the contralateral scaphoid fossa cartilage combined with postauricular skin flap has these advantages of good appearance and slight scar, symmetry to the healthy ones. It is worthy of clinical expansion.
出处
《中国美容整形外科杂志》
CAS
2015年第4期200-202,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
舟软骨
耳轮缺损
耳缺损
Scaphoid fossa cartilage
Helix defect
Ear reconstruction
