Cao Zhe, Tan Shenxing, Niu Changying, Dong Yanhui, Liang Xiaoqin, Xu Shujuan, Ji Caixia
Institute of Reconstructive Plastic Surgery, Weifang Medical University, Weifang Shandong, 261042, P.R.China.
Department of Orthopedics, Plastic Surgery Hospital of Weifang Medical University.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2016 Nov 8;30(11):1370-1372. doi: 10.7507/1002-1892.20160280.
To investigate the effectiveness of the V-Y advanced retroauricular flap for repairing mild and moderate earlobe defect.
Between September 2014 and July 2015, V-Y advanced retroauricular flap was used to repair earlobe defect in 6 patients. There were 1 male and 5 females, aged 18 to 30 years (mean, 23 years). The left earlobe was involved in 2 cases and the right earlobe in 4 cases, including 2 cases of congenital earlobe defect and 4 cases of secondary earlobe defect; 1 patient had congenital deformity of upper auricle. According to self-made criteria for earlobe defect, 5 cases were rated as mild defect and 1 case as moderate defect.
All incisions healed at the first stage, and the flaps survived smoothly. The patients were followed up 3 to 12 months, with an average of 9 months. The reconstructed earlobes had natural size and shape, and smooth curve; the texture and color were close to the adjacent skin. The effectiveness was satisfactory.
The V-Y advanced retroauricular flap for repairing mild and moderate earlobe defect can achieve natural earlobe and aesthetic plastic effectiveness, so it is a safe and ideal earlobe reconstruction method.
探讨V-Y推进耳后皮瓣修复轻、中度耳垂缺损的效果。
2014年9月至2015年7月，采用V-Y推进耳后皮瓣修复耳垂缺损患者6例，其中男1例，女5例，年龄18～30岁，平均23岁。左耳耳垂缺损2例，右耳耳垂缺损4例，其中先天性耳垂缺损2例，继发性耳垂缺损4例；1例患者合并耳廓上部先天性畸形。按照自制的耳垂缺损分度标准，轻度缺损5例，中度缺损1例。
所有切口均一期愈合，皮瓣顺利成活。患者随访3～12个月，平均9个月。再造耳垂大小、形态自然，曲线流畅；质地、颜色与相邻皮肤接近。效果满意。
V-Y推进耳后皮瓣修复轻、中度耳垂缺损可获得自然的耳垂形态及美学整形效果，是一种安全、理想的耳垂再造方法。
