期刊文献+

耳后乳突区皮管转移修复外伤性耳轮部分缺损 被引量:4

Repairing traumatic partial helical defect with postauricular tube flap
原文传递
导出
摘要 目的探讨应用耳后乳突区皮管转移修复外伤性耳轮部分缺损的经验及效果。方法依据耳轮缺损的部位及范围,在耳后乳突区预构皮管,皮管长度与缺损长度比例为1.2~1.5:1,形成皮管的皮瓣长宽比例为3~4:1。手术全程分3期:一期预构皮管,2~3周后二期手术将皮管一端断蒂转移,再过2~3周后三期手术将皮管完全转移修复缺损。结果1998年1月至2006年6月.共收治外伤性耳轮部分缺损患者47例,年龄16~58岁,平均27岁,缺损时间1个月~15年。术后所有病例移植皮管全部成活,无血运障碍、感染及坏死等并发症发生。随访时间2个月~5年,效果满意。结论耳后乳突区皮管转移修复外伤性耳轮部分缺损具有术式简单、移植成活率高、形态逼真、供区隐蔽、痛苦小等优点,是修复外伤性耳轮部分缺损的理想术式。 Objective To investigate the effect of postauricular tube flap for repairing traumatic partial helical defect. Methods The tube flaps were designed according to the site and size of helical defects, The length of tube flaps was 1,2 - 1,5 times as the length of the defects. The length-to-width ratio of tube flap was 3 4: 1. The proceduces required three stages for completion: ① fabrication of tube flap; ② 2 ~3 weeks later, division of one pedicle and insetting the flap; ③ 2 ~ 3 weeks later, complete division of pedicle and repairing the defects. Results From January 1998 to June 2006, 47 cases of traumatic partial helical defects were treated with postauricular tube flaps. All the tube flaps survived completely with no vascular disturbance, infection or necrosis, The patients were followed up for 2 months to five years with satisfactory results. Conclusions Postauricular tube flap is a reliable and simple procedure for traumatic partial helical defects with good cosmetic result and less donor site morbidity.
出处 《中华整形外科杂志》 CAS CSCD 北大核心 2008年第4期285-287,共3页 Chinese Journal of Plastic Surgery
关键词 皮管 乳突区 耳轮 Tube flap Mastoid Helix
  • 相关文献

参考文献5

二级参考文献33

  • 1朱星红.耳后皮瓣及耳廓组织瓣转位修复颜面部的应用解剖[J].中华显微外科杂志,1995,18(1):44-46. 被引量:11
  • 2Hayreh SS.Anterior ischemic optic neuropathy.Clin Neurosci,1997,4:251-263.
  • 3Hayreh SS.Anterior ischemic optic neuropathy.Arch Neurol,1981,38:675-681.
  • 4Speaker MG,Guerriero PN.A Case-control study of risk factors for intraopertive suprachoroidal expulsive hemorrhage.Ophthalmology,1991,98:202-204.
  • 5Morgan CM,Schatz H.Ocular complications associated with retrobulbar injection.Ophthalmolgy,1988,95:660-665.
  • 6Shammax HJ,Mikie M,Yeo R.Topical and subconjunctival anesthesia for phacoemulsification:prospective study.J Cataract Refract Surg,1997,23:15772-15780.
  • 7Akar Y,Apaydin KC,Ozel A.Acute orbital effects of retrobulbar injection on optic nerve head topography.Br J Ophthalmol,2004,88:1573-1576.
  • 8Moshfeghi DM,Lowder CY,Roth DB,et al.Retinal and choroidal vascular occlusion after posterior sub-tenon triamcinolone injection.Am J Ophthalmol,2002,134:132-134.
  • 9Van Brocklin MD,Hirons RR,Yolton RL.The oculocardiac reflex:a review.J Am Optom Assoc,1982,53:407-413.
  • 10Gupta OP,Boynton JR,Sabini P,et al.Proptosis after retrobulbar corticosteroid injections.Ophthalmology,2003,110:443-447.

共引文献63

同被引文献44

  • 1熊伟,兰华,梁玉霞.乳突区推进皮瓣在耳廓整形中的应用[J].兵团医学,2005(4):32-32. 被引量:1
  • 2王丹茹,章一新,钱云良,方建蔺,杨军,张余光.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. 被引量:11
  • 3黄秀珍,杨韩芳,杨改霞,等.耳前局部皮瓣修复耳甲腔皮肤缺损8例[J].中国美容医学,2010,19(1):27.
  • 4Sclafani AP, Mashkevich G. Aesthetic reconstruction of the anricle[J]. Facial Plast Surg Clin North Am, 2006, 14(2) : 103- 116, vi.
  • 5Magritz R, Siegert R. Reconstruction of the avulsed auricle after tranma[ J]. Otolaryngol Clin North Am, 2013,46(5) : 841-855.
  • 6Louis PJ, Aponte-Wesson RA, Femandes RP, et al. Autogenous and prosthetic reconstruction of the ear[ J ]. Oral Maxillofac Surg Clin North Am, 2013, 25(2) : 271-786.
  • 7Janis JE, Hatef DA, Ducic I, et al. Anatomy of the anriculotemporal nerve: variations in its relationship to the superficial temporal artery and implications for the treatment of migraine headaches [ J ]. Plast Reconstr Surg, 2010, 125 ( 5 ) : 1422-1428.
  • 8Tayfur V, Edizer M, Magden O. Anatomic bases of superficial temporal artery and temporal branch of facial nerve [ J ]. J Craniofac Surg, 2010, 21(6) : 1945-1947.
  • 9Round R, Litscher G, Bahr F. Auricular acupuncture with laser [J]. Evid Based Complement Ahemat Med, 2013, 2013: 984763.
  • 10Kim 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(3) : 192-197.

引证文献4

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部