Papadopoulos O N, Karypidis D K, Chrisostomidis C I, Konofaos P P, Frangoulis M B
Second Propedeutic Surgical Department, Laikon Hospital, Athens, Greece.
Clin Exp Dermatol. 2008 Aug;33(5):647-50. doi: 10.1111/j.1365-2230.2008.02741.x. Epub 2008 May 12.
Tissue defects in the antihelix and the concha due to oncological resection and trauma can be successfully repaired with a subcutaneously based postauricular island flap. Alternative methods of regional reconstruction usually need two stages or may require grafts in some patients. We present the one-stage technique, as described by Masson, without grafts, to provide adequate reconstruction and aesthetic restoration of the area, illustrated by 62 patients. In all patients there has been a follow-up period of 12 months. This report provides evidence for the aesthetic superiority of this method. An excellent aesthetic outcome was achieved in 46 patients, an adequate outcome in 15 patients, and a poor result in only 1 patient. No flap necrosis was observed. The method has considerable advantages for the repair of anterior conchal and antihelical defects.
因肿瘤切除和创伤导致的耳轮和耳甲组织缺损，可通过皮下蒂耳后岛状皮瓣成功修复。区域重建的其他方法通常需要分两期进行，或者在某些患者中可能需要移植。我们介绍了如马森所描述的一期技术，无需移植，为该区域提供充分的重建和美学修复，62例患者的情况说明了这一点。所有患者均有12个月的随访期。本报告为该方法的美学优越性提供了证据。46例患者获得了极佳的美学效果，15例患者效果尚可，仅1例患者效果不佳。未观察到皮瓣坏死。该方法在修复耳甲前部和耳轮缺损方面具有相当大的优势。
