摘要
目的:分析外耳道缺损患者带蒂皮瓣修复的临床效果。方法:将本院2016年3月-2017年3月收治的50例外耳道皮肤缺损患者作为研究对象,采用带蒂皮瓣修复,比较患者患侧和健侧耳长度、耳宽度、耳甲腔温度、耳廓温度等指标。结果:50例患者皮瓣均存活,术后随访3个月,肿物无复发,外耳道无狭窄,皮肤色泽良好,外观满意。患者术后患侧和健侧的耳长度、耳宽度比较,差异无统计学意义(P>0.05).术后1d,患侧耳甲腔温度(27.21±0.76)℃和耳轮廓温度(24.01±0.63)℃明显低于健侧的(28.76±0.65)℃和(24.73±0.64)℃,差异有统计学意义(P<0.001);术后7d、14d,患侧与健侧的耳甲腔、耳轮廓温度比较,差异无统计学意义(P>0.05)。患者主观评价与医师客观评价的总满意率分别为86.0%和90.0%,差异无统计学意义(P>0.05)。结论:带蒂皮瓣修复外耳道缺损效果显著,具有操作简单、术后瘢痕小、供区隐蔽、色泽与周围皮肤接近、术后外观满意度高等优点,可显著提高患者生活质量,值得在临床中推广应用。
Objective To study clinical effect in patients with external auditory canal defects by pedicled flaps repair.Methods 50 patients with skin defects in the ear canal treated in our hospital from March 2016 to March 2017 were selected as the research objects,and the pedicle skin flap was used to repair.The length of the affected side and the healthy lateral ear,the width of the ear,the temperature of the concha cavity,and the temperature of the auricle were compared.Results The skin flaps were survived in 50 cases.Follow-up for 3 months,the tumor had no recurrence,the external auditory canal had no stenosis,the skin color was good,and the appearance was satisfactory.There was no statistically significant difference in ear length and ear width between the defect side and healthy side of patient after surgery(P>0.05).After 1d,the ear concha temperature and temperature profile of the defect side was significantly lower than the healthy side,the difference was statistically significant(P<0.001).After 7d、14d,there were no statistically significant difference in the ear concha temperature and temperature profile between the defect side and healthy side(P>0.05).Satisfaction of doctors and patients were 86.0%and 90.0%,the difference was not statistically significant(P>0.05).Conclusion Pedicled flaps repair for the treatment of patients with external auditory canal defect effect was remarkable,the operation is simple,the postoperative scar is small,the donor area is concealed,the skin are close to the surrounding skin,and the postoperative appearance satisfaction is high.It can improve patient quality of life,is worth popularizing application in clinical.
作者
罗静
苏庚
袁群芳
LUO Jing;SU Geng;YUAN Qun-fang(Department of ENT Head and Neck Surgery,Xiantao First People's Hospital,Xiantao 433000,Hubei,China)
出处
《中国美容医学》
CAS
2018年第1期71-73,共3页
Chinese Journal of Aesthetic Medicine
关键词
外耳道
皮肤缺损
皮瓣
修复
external auditory canal
skin defect
flap
repair
