[局部皮瓣联合放疗个体化治疗耳廓瘢痕疙瘩]
[An individualized approach combining local flaps with radiotherapy for the treatment of auricle keloid].
作者信息
Long Xiao, Wang Xiao-jun, Wang You-bin, Li Wen-bo, Sun Xian-song
机构信息
Department of Plastic and Reconstructive Surgery, PUMC Hospital, CAMS and PUMC, Beijing, China.
出版信息
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2013 Apr;35(2):213-6. doi: 10.3881/j.issn.1000-503X.2013.02.015.
OBJECTIVE
To investigate an individualized approach to the treatment of auricle keloid to maintain the normal appearance of external ear and meanwhile reduce the recurrence.
METHODS
Different local flaps were performed according to the location of the keloid in our approach. The auricle was divided into different anatomical regions and all the patients received local postoperative radiotherapy.
RESULTS
Of 68 patients with auricle keloid received the individualized approach, 3 cases suffered delayed healing due to partial flap necrosis. The remaining patients were followed up for 8-21 months(mean:11.5 months) . Recurrence occurred in one patient(1.47%) .
CONCLUSION
The individualized approach combining local flaps with radiotherapy in treating auricle keloid can effectively maintain the normal ear appearance with low recurrence rate.
目的
探讨一种治疗耳廓瘢痕疙瘩的个体化方法，以保持外耳的正常外观，同时降低复发率。
方法
在我们的治疗方法中，根据瘢痕疙瘩的位置采用不同的局部皮瓣。将耳廓分为不同的解剖区域，所有患者术后均接受局部放疗。
结果
68例接受个体化治疗的耳廓瘢痕疙瘩患者中，3例因部分皮瓣坏死导致愈合延迟。其余患者随访8 - 21个月（平均11.5个月）。1例患者复发（1.47%）。
结论
局部皮瓣联合放疗的个体化方法治疗耳廓瘢痕疙瘩能有效保持耳部正常外观，复发率低。
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