耳郭瘢痕疙瘩核心切除术后应用扇形瘢痕皮瓣修复：177例患者193处病变分析
[Use of fan-shaped scar flap for reconstruction after auricular keloid core excision: an analysis of 193 lesions in 177 patients].
作者信息
Qian Wei, Zhou Zuo, Fan Jufeng, Zhang Yan, Lyu Wei, Hou Ying, Cao Qian, Li Jing
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2016 Jul;32(4):268-71.
OBJECTIVE
To investigate the clinical effects of fan-shaped scar flaps for reconstruction of the wounds after auricular keloid core excision.
METHODS
193 auricular keloid lesions in 177 patients were treated. The fan-shaped scar flap, harvested from the surface of the auricle keloid, was clipped into the suitable size. The curved surface of flap was shaped into flat surface to cover the wound after keloid core excision without tension. Adjuvant intralesional injection of corticosteroid was performed intraoperatively and postoperatively.
RESULTS
All the flaps survived completely with satisfactory aesthetic results. The effective rate of treatment was 96.4％ (186/193),and the recurrence rate was 3.6％ (7/193).
CONCLUSIONS
Satisfactory results can be achieved with the fan-shaped scar flap in the reconstruction after auricular keloid core excision. It' s an effective treatment suitable for auricle keloids in different shapes and sizes.
目的
探讨扇形瘢痕皮瓣修复耳廓瘢痕疙瘩核心切除术后创面的临床效果。
方法
对177例患者的193处耳廓瘢痕疙瘩病变进行治疗。从耳廓瘢痕疙瘩表面切取扇形瘢痕皮瓣，修剪成合适大小。将皮瓣的曲面修成平面，无张力覆盖瘢痕疙瘩核心切除后的创面。术中及术后辅助病灶内注射糖皮质激素。
结果
所有皮瓣均完全存活，美学效果满意。治疗有效率为96.4％（186/193），复发率为3.6％（7/193）。
结论
扇形瘢痕皮瓣修复耳廓瘢痕疙瘩核心切除术后创面效果满意。是一种适用于不同形状和大小耳廓瘢痕疙瘩的有效治疗方法。
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