山东大学耳鼻喉眼学报 ›› 2017, Vol. 31 ›› Issue (3): 68-70.doi: 10.6040/j.issn.1673-3770.0.2016.536

• 论著 • 上一篇    下一篇

印迹法耳后皮瓣制备及修复耳郭前部皮肤缺损的临床效果

王登元,陈智斌,陈若希,赵晓埝,程雷   

  1. 南京医科大学第一附属医院耳鼻咽喉科 江苏省人民医院耳鼻咽喉科/世界卫生组织预防聋和听力减退合作中心/江苏省耳科疾病与听力障碍诊治中心, 江苏 南京 210029
  • 收稿日期:2016-12-31 出版日期:2017-06-16 发布日期:2017-06-16

Clinical efficacy of repairing auricular skin defects with posterior auricular flaps and their preparation with Gauze blotting.

WANG Dengyuan, CHEN Zhibin, CHEN Ruoxi, ZHAO Xiaonian, CHENG Lei   

  1. Department of OtoIaryngoIogy, the First Affiliated Hospital, Nanjing Medical University, Jiangsu Provincial Peoples Hospital/WHO Collaborating Centre for the Prevention of Deafness and Hearing Loss/ Jiangsu Provincial Diagnosis and Treatment Center for Otologic Diseases and Hearing Disorders, Nanjing 210029, Jiangsu, China
  • Received:2016-12-31 Online:2017-06-16 Published:2017-06-16

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摘要： 目的 评估印迹法制备耳后皮瓣及修复耳廓前部皮肤缺损的临床效果。 方法 2013年3月至2015 年9月对31例耳郭肿物患者术后较大的皮肤缺损采用耳后皮瓣修复。以纱布印迹法制备耳后皮瓣,皮瓣蒂部根据缺损的位置可在上部或下部。皮瓣蒂部皮肤去上皮后,经制备的软骨窗转位至耳郭前部皮肤缺损区。 结果 术后转移皮瓣全部成活。随访6~24个月,转移皮瓣皮肤颜色与耳郭及其周围皮肤颜色相似,未发生畸形改变。 结论 耳后皮瓣修复耳郭前部缺损手术操作简单,术后皮瓣成活率高,且供瓣区位于耳后,瘢痕隐蔽,能取得满意的美学效果,是一种修复耳郭组织缺损较好的方法。

关键词: 修复外科手术, 皮肤缺损, 耳后皮瓣

Abstract: Objective To evaIuate the cIinicaI efficacy of repairing aurlcuIar skin defects with posterior auricuIar transposition fIaps and their preparation with Gauze blotting. Methods A total of 31 patients with auricular skin defects following auricular neoplasms hospitalized during March 2013 to September 2015 were performed reconstruction with posterior auricular transposition fIaps. After pathological tissue resection, posterior auricular flap was prepared with Gauze blotting. The pedicle of the flap could be superiorly or inferiorly based according to the position of the defect. The pedicle area was deepithelialized. The flap was transpositioned to reconstruct the skin defect of auricle through the window in the auricular cartilage. Result AII the transpositioned fIaps were survived. During a foIIow-up of 6 to 24 months, the skin of transferred fIaps were similar to that of the surrounding skin in color and appearance. Conclusion The operation of repairing anterior auricular skin defects with posterior auricular fIap is simpIe and safe. The donor area is located behind the ear, and the scar is hidden. Patients can achieve satisfactory aesthetic outcome.

Key words: Reconstructive surgical procedures, Skin defect, Posterior auricular fIap

中图分类号: 

  • R764.9+1
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