Yamada Akira, Ueda Koichi
Department of Plastic Surgery, Osaka Medical College, Osaka, Japan.
J Craniofac Surg. 2012 May;23(3):e241-6. doi: 10.1097/SCS.0b013e31824de5d2.
We present a case of successful total auricular reconstruction after total amputation of the auricle. Owing to the severe damage to the auricular cartilage, replantation was not attempted; instead, for the next step of the reconstruction, severed superficial temporal artery and vein were anastomosed. At the second stage, total auricular reconstruction was planned. A huge temporoparietal fascial flap was used (based on STA/STV), which was used to cover the costal cartilage ear framework. This case suggests that, even for the total loss of the auricle, autogenous reconstruction can still be successfully done if a temporoparietal fascial flap is available.
我们报告一例耳廓完全离断后成功进行全耳再造的病例。由于耳廓软骨严重受损，未尝试再植；取而代之的是，在重建的下一步，将离断的颞浅动静脉进行吻合。在第二阶段，计划进行全耳再造。使用了一个巨大的颞顶筋膜瓣（基于颞浅动静脉），用于覆盖肋软骨耳支架。该病例表明，即使耳廓完全缺失，如果有颞顶筋膜瓣可用，自体组织重建仍可成功完成。
