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
[1] 苏法仁,丁静华,赵继臣,等.先天性小耳畸形外耳再造临床研究[J].武警医学,2007,18(4):278-281. doi:10.3969/j.issn.1004-3594.2007.04.012. SU Faren, DING Jinghua, ZHAO Jichen, et al.Ear reconstruction of congenital microtia[J]. Med J Chin PAP, 2007,18(4):278-281. doi:10.3969/j.issn.1004-3594.2007.04.012.
[2] 苏法仁,丁静华,薄琳,等.先天性小耳畸形的耳郭再造[J]. 中华耳科学杂志,2014, 12(1):90-92. doi:10.3969/j.issn.1672-2922.2014.01.022. SU Faren, DING Jinghua, BO Lin, et al. Auricle reconstruction of microtia[J]. Chinese Journal of Otology, 2014, 12(1):90-92. doi:10.3969/j.issn.1672-2922.2014.01.022.
[3] 苏法仁,刘玉红,薄琳,等.一种缝合装置在耳郭再造手术胸部切口缝合中的应用[J].中华耳科学杂志,2019,17(2):272-274. doi:10.3969/j.issn.1672-2922.2019.02.026. SU Faren, LIU Yuhong, BO Lin, et al. A Suture Device for Thoracic Donor Site Incision closure in Auricular Reconstruction[J]. Chinese Journal of Otology, 2019,17(2):272-274. doi:10.3969/j.issn.1672-2922.2019.02.026.
[4] 苏法仁.一种外耳再造手术用缝合装置:201520183101.7[P].2015-08-26.
[5] 苏法仁,薄琳,丁静华,等.外伤后耳郭缺损的修复[J].山东大学耳鼻喉眼学报,2013,27(1):33-35. doi:10.6040/j.issn.1673-3770.0.2012.178. SU Faren, BO Lin,DING Jinghua, et al. Repair of traumatic auricle defect[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2013,27(1):33-35. doi:10.6040/j.issn.1673-3770.0.2012.178.
[6] 苏法仁,丁静华,刘玉红.苏氏定位法在小耳畸形患者耳郭再造中的应用[J]. 中华耳科学杂志,2016,14(4):551-553. doi:10.3969/j.issn.1672-2922.2016.04.025. SU Faren, DING Jinghua, LIU yuhong. Application of Sus localization method for auricular reconstruction in patients with microtia[J]. Chinese Journal of Otology, 2016,14(4):551-553. doi:10.3969/j.issn.1672-2922.2016.04.025.
[7] 薄琳,苏法仁,丁静华. 负压引流技术在外耳再造中的临床应用[J].山东大学耳鼻喉眼学报,2011,25(6):43-45. BO Lin,SU Faren, DING Jinghua.Clinical application of negative pressure drainage in ear reconstruction[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2011,25(6):43-45.
[8] 苏法仁.一种用于皮肤扩张法耳郭再造的持续负压引流装置:ZL201720115820.4 [P].2018-05-01.
[9] Brent B. Teehnicat advanceis in ear reconstruction with autogenous rib cartilage grafts:Personal experienee with 1200 cases[J].Plast Reconstr Surg,1999,104(2):319-334.
[10] Hata Y, Hosokawa K, Yano K, et al. Correction of eongenital microtia using the tussue expander[J]. Plast Reconstr Surg, 1989, 84(5):741-753.
[11] Park C. Subfaseial expansion and expanded two-flap method for microtia reconstruction[J].Plast Reconstr Surg,2000,106(7):1473-1487.
[12] 苏法仁,丁静华,薄琳.皮肤软组织扩张术在外耳再造中的应用[J].中国耳鼻咽喉头颈外科,2009,16(9):500-502. SU Faren, DING Jinghua, BO Lin. Clinical application of skin soft tissue expansion for auricular reconstruction[J].Chin Arch Otolaryngol Head Neck Surg, 2009,16(9):500-502.
[13] 苏法仁,薄琳,丁静华,等.烧伤后耳郭缺损的修复[J]. 中华耳科学杂志,2011,9(1):1-3. doi:10.3969/j.issn.1672-2922.2011.01.001. SU Faren, BO Lin, DING Jinghua, et al. Repairing auricle defect from burn injury[J]. Chinese Journal of Otology, 2011,9(1):1-3. doi:10.3969/j.issn.1672-2922.2011.01.001.
[1] SU Faren, MA Qifa, LIU Yuhong. Contact mini in patients with bilateral congenital microtia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 69-71.
[2] HAN Hao-lun, WU Wei. Surgery advance of congenital ear malformation [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(1): 85-88.
[3] BO Lin， SU Fa-ren， DING Jing-hua. Clinical application of negative pressure drainage in ear reconstruction [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(6): 43-.
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