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一种在软骨膜皮肤移植后修复耳廓缺损的方法。

A method to repair auricular defects after perichondrial cutaneous grafting.

作者信息

Stucker Fred J, Sanders Kenneth W

机构信息

Department of Otolaryngology-Head and Neck Surgery, Louisiana State University, Shreveport, Louisiana 71130, USA.

出版信息

Laryngoscope. 2002 Aug;112(8 Pt 1):1384-6. doi: 10.1097/00005537-200208000-00011.

DOI:10.1097/00005537-200208000-00011
PMID:12172249
Abstract

OBJECTIVE

To describe and illustrate the technique for closing the auricular bowl defect after perichondrial cutaneous grafting. The postauricular flip-flop flap is used for this purpose.

STUDY DESIGN

A retrospective clinical study of 354 patients using the perichondrial cutaneous graft for various reconstructions of the face and then performing the postauricular flip-flop flap procedure.

METHODS

The perichondrial cutaneous graft is a reliable, versatile graft that possesses unique properties for reconstructive surgery of the face. The postauricular flip-flop flap is our particular technique for closure of the donor site wound after using the perichondrial cutaneous graft. It is a relatively simple procedure that has predictable results. We used this technique in patients ranging in age from 7 days to 92 years and noted excellent cosmetic results and rare complications.

RESULTS

Two patients had failure of the perichondrial cutaneous graft. Two patients had partial necrosis of the postauricular flip-flop flap. Two patients had dehiscence of the postauricular closure.

CONCLUSION

The postauricular flip-flop flap is a reliable method to repair the donor site after perichondrial cutaneous grafting.

摘要

目的

描述并阐释在软骨膜皮肤移植术后闭合耳碗缺损的技术。为此采用耳后反转皮瓣。

研究设计

对354例患者进行回顾性临床研究,这些患者使用软骨膜皮肤移植进行面部各种重建,然后施行耳后反转皮瓣手术。

方法

软骨膜皮肤移植是一种可靠、多功能的移植材料,在面部重建手术中具有独特性能。耳后反转皮瓣是我们在使用软骨膜皮肤移植后闭合供区伤口的独特技术。这是一个相对简单的手术,效果可预测。我们在年龄从7天到92岁的患者中使用了该技术,获得了出色的美容效果且并发症罕见。

结果

2例患者软骨膜皮肤移植失败。2例患者耳后反转皮瓣部分坏死。2例患者耳后闭合处裂开。

结论

耳后反转皮瓣是软骨膜皮肤移植术后修复供区的可靠方法。

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引用本文的文献

1
Partial auricular reconstruction.部分耳廓再造术。
Semin Plast Surg. 2011 Nov;25(4):249-56. doi: 10.1055/s-0031-1288916.
2
Clinical case-study describing the use of skin-perichondrium-cartilage graft from the auricular concha to cover large defects of the nose.临床病例研究描述了使用耳甲软骨皮-软骨膜移植物来覆盖鼻子的大面积缺损。
Head Face Med. 2012 Mar 19;8:10. doi: 10.1186/1746-160X-8-10.