Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (6): 49-51.doi: 10.6040/j.issn.1673-3770.0.2019.238

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Application of expanded skin flaps and fascial flaps(the two flaps method)in ear reconstruction for patients with microtiag

BO Lin, LIU Xingang, LIU Yuhong, SU Faren   

  1. Department of Auricle Reconstruction Center, Chinese Armed Peoples Police Force, Shandong Provincial Corps Hospital, Jinan 250014, Shandong, China
  • Published:2019-12-23

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Abstract: Objective To discuss the application and effect of ear reconstruction with expanded skin flaps and fascial flaps(the two flaps method), in congenital microtia. Methods The study included 712 cases(756 ears)of congenital microtia from January 2012 to January 2018, all reconstructed with the two flaps method. Results All cases were followed-up for 1 to 6 years. Among them, 15 cases(15 ears)had steel wire exposure after the operation, which was resolved after removing the steel wire over time. Ten cases had subcutaneous hematoma of the reconstructed auricle after the operation, which disappeared after replacing the negative pressure drainage tube. Three cases had exposed cartilage scaffold due to improper protection of the reconstructed auricle, which was sutured by local skin and covered with pedicled fascia flaps. Patients were cured after timely treatment. The size, shape, and location of the reconstructed auricles were basically symmetrical with the healthy ears. The reconstructed auricle skin was normal in color, the auricle cartilage scaffold was not exposed or absorbed, and the fine concave and convex structure was clear. Conclusion The two flaps ear reconstruction is a better method for the treatment of congenital microtia because of its superior result and fewer complications.

Key words: Two flaps, Congenital microtia, Ear reconstruction

CLC Number: 

  • R764.7
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