组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2014, Vol. 10 ›› Issue (2): 104-120.doi: 10.3969/j.issn.1673-0364.2014.02.011

• 论著 • 上一篇    下一篇

耳后皮下蒂皮瓣一期贯穿修复耳廓前部组织缺损

左宗宝，孙家明，郭科，郭能强，宁金龙   

  1. 华中科技大学同济医学院附属协和医院整形外科；安徽医科大学第一附属医院整形外科
  • 发布日期:2020-07-23

Postauricular Subcutaneous Pedicle Flap in One Stage Reconstruction of Retroauricula Defect

ZUO Zongbao,SUN Jiaming,GUO Ke,GUO Nengqiang,NING Jinlong   

  1. Department of Plastic Surgery,Union Hospital of Tongji Medical College,Huazhong University of Science and Technology; Department of Plastic Surgery,The First Hospital of Anhui Medical University;
  • Published:2020-07-23

摘要： 目的观察耳后皮下蒂皮瓣一期修复耳廓前部组织缺损的效果。方法 2011年9月至2013年9月,利用耳后皮下蒂皮瓣贯穿修复耳廓前部组织缺损16例,最小面积为1.0 cm×1.5 cm,最大面积为2.2 cm×2.5 cm,术后随访观察手术效果。结果术后耳后皮瓣均存活良好,随访2~12个月,耳廓外形满意,瘢痕不明显。结论耳后皮下蒂皮瓣血供可靠,形态、色泽、质地与周围正常组织一致,供瓣区隐蔽,是修复耳廓前部组织缺损的一种较好方法。

关键词: 耳后皮下蒂皮瓣, 耳廓前部缺损, 修复

Abstract: Objective To investigate the surgical efficacy of the postauricular subcutaneous pedicle flap in one stage reconstruction of retroauricula defect. Methods From September 2011 to September 2013, 16 cases with retroauricula defects were repaired by the postauricular subcutaneous pedicle flap in one stage reconstruction. The maximum size of defect was 2.2 cm×2.5 cm, and the minimum was 1.0 cm×1.5 cm. The surgical efficacy was observed after operation. Results All the postauricular flaps were survived postoperatively, and the auricular appearances of all the patients were satisfactory without visible scar during 2 to 12 months ’ follow up. Conclusion Postauricular subcutaneous pedicle flap, with reliable blood supply, similar contour, color, texture with surrounding tissue, and hidden donor site, is one of the best methods for the reconstruction of preauricular defects.

Key words: Postauricular subcutaneous pedicle flap, Retroauricula defect, Reconstruction

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