Xu Helen, Pollak Natasha, Paparella Michael M
Department of Otolaryngology-Head and Neck Surgery, Loma Linda University School of Medicine, Loma Linda, CA, USA.
Ear Nose Throat J. 2013 Aug;92(8):348-56. doi: 10.1177/014556131309200808.
Thiersch skin grafting is an old but highly effective surgical technique in otology. We frequently place a Thiersch graft after otologic procedures that either create a mastoid cavity or result in reduced skin coverage of a portion of the external auditory canal. The purpose of this article is to introduce this surgical technique to a new generation of otologists. We discuss its indications, the surgical technique, tips for a successful outcome, and postoperative care. A key to successful skin grafting is to perform the procedure about 10 days after the primary procedure to allow sufficient time for the formation of an adequate vascular bed at the recipient site. The goal in all cases is to achieve a safe, dry ear that is covered with keratinizing squamous epithelium. Thiersch grafting accomplishes this very well.
蒂尔施植皮术是耳科学中一种古老但非常有效的外科技术。我们经常在耳科手术后进行蒂尔施植皮，这些手术要么会形成乳突腔，要么会导致外耳道部分皮肤覆盖减少。本文的目的是向新一代耳科医生介绍这种外科技术。我们讨论了其适应证、手术技术、成功手术的技巧以及术后护理。成功进行皮肤移植的关键是在初次手术后约10天进行该手术，以便有足够的时间在受区形成足够的血管床。所有病例的目标都是实现一个安全、干燥且覆盖有角化鳞状上皮的耳朵。蒂尔施植皮术很好地实现了这一目标。
