Zhang Chao, Teng Li, Xu Jia-Jie, Lu Jian-Jian, Xie Fang, Yang Li-Ya, Li Shu-Yuan, Wu Huan-Huan, Sun Heng, Yang Biao
Cranio-maxillo-facial Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
J Craniofac Surg. 2018 Nov;29(8):2231-2233. doi: 10.1097/SCS.0000000000005054.
Ear amputations are common in emergency departments as the auricle's protrusion from the lateral aspect of the head makes it particularly susceptible to trauma. Of the numerous approaches for auricle injuries, the classic methods include microsurgical replantation, primary reattachment, composite graft, retroauricular pocket principle, secondary reconstruction with rib cartilage, and methods using postauricular flap. The success of the operation depends largely on choosing the appropriate surgical procedure since many factors can influence surgical outcome. There is no 1 gold standard technique to treat the variety of auricle injuries. Inappropriate choice of surgical approach can be detrimental to subsequent reconstructive surgery. Therefore, the initial choice of optimal surgical approach is particularly important. In this article, a rare report of left subtotal ear laceration with inferior lobule pedicle by nonmicrosurgical primary reattachment was presented. The operation obtained an ideal cosmetic effect.
耳部截肢在急诊科很常见,因为耳廓从头部侧面突出,使其特别容易受到创伤。在众多处理耳廓损伤的方法中,经典方法包括显微外科再植、一期重新附着、复合移植、耳后袋原理、用肋软骨进行二期重建以及使用耳后皮瓣的方法。手术的成功很大程度上取决于选择合适的手术方法,因为许多因素会影响手术结果。对于各种耳廓损伤,没有一种黄金标准技术。手术方法选择不当可能对后续重建手术不利。因此,最初选择最佳手术方法尤为重要。本文报道了一例罕见的左侧耳大部撕裂伤,采用非显微外科一期重新附着,保留耳垂蒂,手术取得了理想的美容效果。