摘要
目的 :探讨耳郭部分缺损手术修复的方法及不同皮瓣的临床应用。方法 :对耳郭部分缺损的 14例采用耳后带蒂皮瓣 ,耳后肌为蒂的皮瓣 ,耳郭内侧软骨皮瓣、耳后皮瓣联合整复和耳前、耳后皮瓣联合整复等 4种不同的手术方法和皮瓣进行一期整复 ,并术后随访。结果 :14例中除 2例因清创不彻底和电刀使用过重致皮瓣远端延迟愈合外 ,余均一期愈合 ,整形效果满意。结论 :设计的 4种不同皮瓣及手术方法均能一期整复耳郭部分缺损 ,适应证广 ,成活率高 。
Objective:To explore the use of different skin flaps in reduction of the partial absence of auricle.Methods:Fourteen cases were treated with different flaps,including retroauricular pedicle flap,retroauricular musculocutaneous flap,chondric flap in medial auricle combined with retroauricular flap,and preauricular flap with retroauricular flap.All the cases were followed up.Results:Among them,12 cases got satisfied effect,the other 2 were delayed in healing because of the uncomplete debridgement and overusing of electrotome.Conclusion:Primary pinnaplasty are all successfully performed with four different flaps and surgical ways.There is a large indication range,high flap survival rate and a good future for clinical use.
