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

doi:10.6040/j.issn.1673-3770.0.2016.536

Abstract

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

CLC Number:

R764.9+1

WANG Dengyuan, CHEN Zhibin, CHEN Ruoxi, ZHAO Xiaonian, CHENG Lei. Clinical efficacy of repairing auricular skin defects with posterior auricular flaps and their preparation with Gauze blotting.[J].JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(3): 68-70.

References

[1] 唐梦遥,徐洲, 王碾华. 耳廓部分缺损重建的现状[J]. 中华耳鼻咽喉头颈外科杂志, 2015, 50(3):256-259.
[2] Kim YS.The importance of a conchal bowl element in the fabrication of a three-dimensional framework in total auricular reconstruction[J]. Arch Plast Surg, 2013, 40(2):192-197.
[3] Schonauer F, Vuppalapati G, Marlino S, et al. Versatility of the posterior auricular flap in partial ear reconstruction[J]. Plast Reconstr Surg, 2010, 126(4):1213-1221.
[4] 杨庆华,张连生,庄洪兴,等.断层皮片移植治疗耳廓大面积黑色素痣[J].中华医学美学美容杂志, 2005, 11(1):20-21. YANG Qinghua, ZHANG Liansheng, ZHUANG Hongxing, et al. Treatment of large-sized auricular nevus through split-thickness skin grafting over perichondrium[J]. Chin J Med Aesth Cosmet, 2005, 11(1):20-21.
[5] 赵东升, 赵景志, 闰宝山, 等. 耳廓离断的显微再植与修复[J ]. 临床军医杂志, 2012, 40(1):26-27. ZHAO Dongsheng, ZHAO Jingzhi, YAN Baoshan, et al. Replantation of auricles after complete separation[J]. Clin J Med Officers, 2012, 40(1):26-27.
[6] 王丹茹, 章一新, 钱云良, 等. 应用颞浅动脉耳后支皮瓣修复上耳轮缺损[J ]. 上海交通大学学报(医学版), 2006, 26(9):1048-1050. WANG Danru, ZHANG Yixin, QIAN Yunliang, et al. Application of retroauricular flap pedicled on superficial temporal artery in reconstruction of upper helix defect[J]. J Shanghai Jiaotong Univ(Med Sci), 2006, 26(9):1048-1050.
[7] Ghassemi A, Modabber A, Talebzadeh M, et al. Surgical management of auricular defect depending on the size, location, and tissue involved[J]. J Oral Maxillofae Surg, 2013, 71(8):e232-e242.
[8] 袁兆昌,胡海波,王赞,等.改良耳后皮瓣修复耳廓缺损[J].中国修复重建外科杂志, 2006,20(7):742.
[9] 卿勇,岑瑛,刘晓雪,等. 耳后皮瓣的临床应用[J].中国修复重建外科杂志, 2010,24(7):895-896.
[10] 赵天兰, 余道江, 谢晓明, 等.超长宽比皮下筋膜蒂随意型皮瓣在小耳畸形矫正中耳甲腔创面修复的应用[J].中华医学美学美容杂志, 2012, 18(2):105-107. ZHAO Tianlan, YU Daojiang, XIE Xiaoming, et al. Application of slender narrow subcutaneous fascia pedicle random flap in repair of the cavity of concha wound[J]. Chin J Med Aesth Cosmet, 2012, 18(2): 105-107.

Related Articles 7

[1]	WU Qingwei, ZHAO Yingying, WANG Peihua, WANG Zhongying, CHEN Dong. Curative effect of delayed local flap repair on defects of the nasal tip and dorsum in nasal emergency trauma [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 14-17.
[2]	LI Wenming, WEI Dongmin, SUN Ruijie, QIAN Ye, LIU Dayu, XIE Guang, LEI Dapeng, PAN Xinliang. Surgical treatment of hypopharyngeal cancer with cervical esophageal invasion. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 15-19.
[3]	ZHANG Wei-tian1， GUAN Jian1， CHENG Fu-wei1， ZHANG Yu-jun1， ZHU Hua-ming1， GUO Jin-bao2， YIN Shan-kai1. Singlestage reconstruction of large alar full thickness defect with the combination of island forehead flap and nasolabial flaps [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(1): 31-34.
[4]	ZHAO Li-min, ZHANG Qing-quan, SUN Yan, SONG Xi-cheng, ZHANG Hua, CHEN Xiu-mei. Heterogeneous acellular dermal matrix in repairing mucosa defect of the nasal septum [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(5): 31-.
[5]	SUN Yan,ZHANG Qing-quan,ZHANG Hua,SONG Xi-cheng,ZHAO Li-min,WANG Yan,JIANG Shao-hong,WANG Qiang . Heterogenerty (cattle) acellular dermal matrix repairing mucosa in otolaryngology reconstruction surgeries [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(4): 316-319 .
[6]	ZHANG Ji-zhong,LI Da-jian . Chondroseptum or ethmoid in repairing of nasal septum perforation under endoscopy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(4): 336-337 .
[7]	JIANG Sheng-yang, ZHANG Feng ,LIU Xian-guo,XIANG Jin-gui . Unilateral cleft lip cheiloplasty for nasal deformity [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(2): 153-154 .

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

Comments

Recommended 0

No Suggested Reading articles found!

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

PDF (PC)