Plastic and Repair Surgery Department, Hospital Municipal Barata Ribeiro, RJ, Brazil.
Braz J Otorhinolaryngol. 2010 Jan-Feb;76(1):7-13. doi: 10.1590/S1808-86942010000100002.
The growing number of ear trauma cases has brought about the need for simple and efficient solutions.
To be able to rebuild an ear partially injured by trauma, even in a small hospital setting. Many techniques can be used; however, the solution can be the use of cutaneous or chondrocutaneous flaps.
To reconstruct the ear upper or middle thirds we used a mastoid cutaneous flap with or without a cartilage graft or a chondrocutaneous flap - chosen considering the size of the defect and the need for a cartilage graft.
The patients were able to wear glasses and were pleased with the results. Most of the patients ended up having a good helix and cartilaginous contour. Some had hypertrophic scars on the grafted areas and two required a second procedure.
Mastoid cutaneous flaps or local chondrocutaneous flaps can represent a good solution for partial ear loss after trauma. Most of the patients had very high expectations concerning the procedure. This poses a major technical challenge for the surgeon and requires prior discussion with the patients regarding the true possibilities of outcome.
耳外伤病例的日益增多，要求我们寻找简单有效的解决方案。
能够在小医院环境中对部分受损的耳朵进行重建，即使是外伤导致的。有许多技术可以使用，但解决方案可以是使用皮肤或软骨皮瓣。
为了重建耳上部或中部，我们使用了带有或不带有软骨移植物的乳突皮瓣，或者根据缺损的大小和软骨移植物的需要选择软骨皮瓣。
患者能够佩戴眼镜，对结果感到满意。大多数患者最终有了良好的耳轮和软骨轮廓。一些患者移植部位有肥厚性瘢痕，有两位需要进行第二次手术。
乳突皮瓣或局部软骨皮瓣可以成为外伤后部分耳缺失的良好解决方案。大多数患者对手术有很高的期望。这对外科医生来说是一个很大的技术挑战，需要与患者事先讨论手术结果的真正可能性。
