耳后皮瓣急诊即刻修复耳轮部分缺损的临床应用

徐洲; 汪涛; 王珮华; 陈东

doi:10.13201/j.issn.1001-1781.2019.02.003

耳后皮瓣急诊即刻修复耳轮部分缺损的临床应用

- 上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科上海交通大学医学院耳科学研究所上海市耳鼻疾病转化医学重点实验室(上海, 200011)

详细信息

通讯作者: 王珮华,E-mail:entwang@126.com

中图分类号: R622

收稿日期: 2018-11-04

Application on the clinical effect of immediate repair of part helix defect with flap on post aurem and mastoid region

- Department of Otorhinolaryngology Head and Neck Surgery, Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai Jiaotong University School of Medicine Ear Institute, Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, 200011, China

More Information

Corresponding author: WANG Peihua, E-mail: entwang@126.com

Received Date: 04 November 2018

摘要

摘要: 目的:探讨耳后皮瓣急诊即刻修复耳轮缺损的临床效果。方法:采用耳后皮瓣即刻修复15例急诊外伤后耳轮皮肤及软骨部分缺损的患者,以耳轮缺损上方皮肤组织为蒂,向耳后乳突区接近颅耳角处绘出皮瓣,一般为3~4cm长,至少要保证1cm宽,在软骨膜上掀起皮瓣,向上旋转形成耳轮结构修复耳轮缺损。结果:15例耳轮部分缺损均在急诊环境下即刻修复,耳轮大小和形态满意,颅耳角无改变。随访1~3个月耳轮形态稳定。结论:耳后皮瓣可在急诊条件下即刻修复耳轮部分缺损,具有术式简单、皮瓣存活率高、一次能达到较满意外形的优点。
- 耳轮缺损 /
- 耳后皮瓣 /
- 急诊处理
Abstract: Objective:To investigate the clinical effect of the flap on post aurem and mastoid region on immediate repair of part helix defect.Method:Fifteen patients with part helix defect were immediately repaired using the flap on post aurem and mastoid region.Firstly, the skin tissue above the defect of the helix was used as the pedicle.The flap was drawn toward the post aurem and mastoid region closing to the auriculocephalic angle.The flap was generally 3-4cm long and at least 1cm wide.Secondly, the flap was lifted on the perichondrium, and the structure of the helix was formed by upward rotation of the flap to repair the defect of the helix.Finally, the flap was sutured to repair the helix defect.Result:Fifteen cases were applied with this method to repair immediately the defect in the emergency environment.The sizes of helix contour were satisfactory and the auriculocephalic angles had not changed.The ear shape was stable after 1to 3months of follow-up.Conclusion:The flap on post aurem and mastoid region could immediately repair the part helix defect.It has the advantages of simple operation, high flap survival rate and one-time satisfactory shape.
- part helix defect /
- retroauricular flap /
- emergency treatment

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