Lin D J, Lewis C J, Alrawi M
Institute of Health and Society,Newcastle University,Newcastle upon Tyne,UK.
Department of Plastic Surgery,Royal Victoria Infirmary,Newcastle upon Tyne,UK.
J Laryngol Otol. 2018 Nov;132(11):1022-1025. doi: 10.1017/S0022215118001809. Epub 2018 Oct 22.
Middle-third helical rim defects may arise from trauma or oncological resection, and pose a challenging reconstructive problem. Reconstructing defects larger than 2 cm using traditional methods commits patients to the inconvenience of staged procedures.
This paper describes a single-stage helical rim reconstruction technique using a post-auricular bipedicled flap and ipsilateral conchal cartilage graft for delayed middle-third helical rim reconstruction.
Two examples of this technique used in post-trauma and oncological reconstruction cases are presented, with pre- and post-operative photographs provided for demonstration.
Contralateral graft harvest and staged operations for helical rim reconstruction are associated with donor site morbidity and the inconvenience of multiple operations to achieve the desired reconstructive outcome. Our single-stage helical rim reconstruction technique was well tolerated by patients, and showed satisfactory aesthetic results in terms of size and symmetry.
耳轮中三分之一的边缘缺损可能由外伤或肿瘤切除引起，是一个具有挑战性的重建问题。使用传统方法重建大于2厘米的缺损会使患者面临分期手术带来的不便。
本文描述了一种单阶段耳轮边缘重建技术，该技术使用耳后双蒂皮瓣和同侧耳甲软骨移植进行延迟性耳轮中三分之一边缘重建。
展示了该技术用于创伤后和肿瘤重建病例的两个实例，并提供了术前和术后照片以供展示。
对侧取材移植和耳轮边缘重建的分期手术与供区并发症以及为达到理想重建效果而进行多次手术带来的不便相关。我们的单阶段耳轮边缘重建技术患者耐受性良好，在大小和对称性方面显示出令人满意的美学效果。
