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采用横幅牵拉皮瓣对外耳上对耳轮进行美学重建。

Aesthetic reconstruction of the upper antihelix in external ear with banner pull-through flap.

作者信息

Ali Ebrahimi, Nasrin Nejadsarvari, Azin Ebrahimi

机构信息

Associate Professor of Plastic Surgery Ward and Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Department of Medical Ethics, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Cutan Aesthet Surg. 2015 Oct-Dec;8(4):218-21. doi: 10.4103/0974-2077.172194.

DOI:10.4103/0974-2077.172194
PMID:26865786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4728903/
Abstract

INTRODUCTION

We can use pre auricular and post auricular skin as a pull through flap for upper antihelix defects reconstruction.

PATIENTS AND METHODS

This was a prospective case-series study, which was done in the Department of Plastic and Reconstructive Surgery Ward. In this study, 15 patients (3 women, 12 men), ranging from 45 to 72 years old (mean, 58 years) underwent operation with pull through banner flap for reconstruction of upper antihelix (7 cases) and triangular fossa with superior and inferior crura (5cases) caused by BCC or SCC excision. Reconstruction of upper antihelix defects up to 20 × 30 mm with post auricle pull through flap and reconstruction of triangular fossa up to 20 × 20 mm with pre auricle pull through flap were done.

RESULTS

Our study showed that pull through flap with superior pedicle from post auricular and preauricular area was an effective method for reconstruction of upper ear antihelix defects.

CONCLUSION

We advocate that the pull through flap with superior pedicle from post auricle and pre auricle is an excellent choice for reconstruction of upper antihelix ear reconstruction in both crura and triangular fossa.

摘要

引言

我们可以使用耳前和耳后皮肤作为推进皮瓣来重建耳轮上脚缺损。

患者与方法

这是一项前瞻性病例系列研究,在整形与重建外科病房进行。本研究中,15例患者(3名女性,12名男性),年龄在45至72岁之间(平均58岁),接受了推进横幅皮瓣手术,用于重建因基底细胞癌或鳞状细胞癌切除导致的耳轮上脚(7例)以及伴有上下脚的三角窝(5例)。使用耳后推进皮瓣重建最大达20×30毫米的耳轮上脚缺损,使用耳前推进皮瓣重建最大达20×20毫米的三角窝缺损。

结果

我们的研究表明,来自耳后和耳前区域的带蒂推进皮瓣是重建耳上耳轮缺损的有效方法。

结论

我们主张,来自耳后和耳前的带蒂推进皮瓣是重建耳轮上脚以及三角窝耳重建的极佳选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f53d/4728903/012365180f4f/JCAS-8-218-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f53d/4728903/36f42b4b5c7d/JCAS-8-218-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f53d/4728903/012365180f4f/JCAS-8-218-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f53d/4728903/36f42b4b5c7d/JCAS-8-218-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f53d/4728903/012365180f4f/JCAS-8-218-g003.jpg

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Pull-through subcutaneous pedicle flap for an anterior auricular defect.经皮下蒂推进皮瓣修复耳前缺损
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Technical innovations in ear reconstruction using a skin expander with autogenous cartilage grafts.使用皮肤扩张器和自体软骨移植进行耳部重建的技术创新。
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Superior pedicle retroauricular island flap for ear and temporal region reconstruction: anatomic investigation and 52 cases series.上蒂耳后岛状皮瓣用于耳部及颞部重建:解剖学研究及52例病例系列
Ann Plast Surg. 2008 Jun;60(6):652-7. doi: 10.1097/SAP.0b013e318142da43.
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Use of the earlobe in auricular reconstruction post tumour extirpation.
J Plast Reconstr Aesthet Surg. 2009 Apr;62(4):539-41. doi: 10.1016/j.bjps.2007.10.030. Epub 2007 Dec 3.
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