耳后转移皮瓣修复耳廓软组织缺损18例体会.pdfVIP

2012 年 8 月第 9 卷第 23 期 工作探讨 耳后转移皮瓣修复耳廓软组织缺损 例体会 鲍柏林 何本超 周 俊 湖北省天门市人 民医院耳鼻喉科 9湖北天门 431700 [摘要] 目的 总结评价耳廓软组织缺损行耳后 转移皮瓣修复的 临床疗效 0 方法 2008~2011 年对 18 例耳廓软组织缺 损 较 大的患者采用耳后带蒂皮瓣进行修复 0 结果 术后 转移 皮瓣 全 部成 活 0 随访 6 个 月~2 年转移 皮瓣皮肤 颜 色与 耳廓及其周围皮肤 颜 色接近 9外观基 本恢 复原 有形态 9柔韧性 及外观基 本无改变 0 结论 耳后带蒂皮瓣修复耳廓部 分缺损手术操作简 单 9可较好保 持耳廓外 型 9皮瓣术后成 活率高 9且 供瓣 区位于耳后 9瘫痕 隐蔽 9能达到 满意的效果 9 是 一 种修复耳廓软组织缺损 较好 的方法 0 [关键词] 耳廓软组织缺损 耳后转移皮瓣 修复 中图分类号 文献标识码 文章编号 [ ] R764 [ ] C [ ] 1673-7210 2012 08 b -0159-02 The experience of repairing auricular soft tissue defects by posterior auricu lar flap transfer in 18 cases BAo Bolin HE Benchao ZHoU Jun Department Of OtOIaryngOIOgy, PeOpIes HOspitaI Of Tianmen City, Hubei PrOvnice, Tianmen 431700, China [abstract] Objective TO summarize and evaIuate the cIinicaI efficacy Of repairing auricuIar sOft tissue defects by pOsteriOr auricuIar fIap transfer. Methods 18 cases Of patients with severe auricuIar sOft tissue defects frOm 2008 tO 2011 were se Iected and repaired by pOsteriOr auricuIar pediceI fIap. Results After OperatiOn, aII the transferred fIaps were survived. FOI IOwed up fOr 6 mOnths tO 2 years, the skin cOIOr Of transferred fIaps were cIOse tO the auricIe and surrOunding skin, and the appearance aImOst returned tO the OriginaI fOrm, the fIexibiIity and appearance aImOst had nO change. Conclusion The Op eratiOn Of repairing auricuIar sOft tissue defects by pOsteriOr auricuIar fIap transfer is simpIe. It can better keep the auricuIa shape, has high survivaI rate Of fIaps, and the vaIve area is IOcated behind the ear, the scar is hidden, which can achieve satisfactOry resuI