Chang Shusen, Tang Xiujun, Wei Zairong, Wu Bihua, Wang Bo, Jin Wenhu, Chen Wei, Li Hai, Zhang Ziyang
Department of Burn Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563003, P.R.China.
Department of Burn Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563003,
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019 Jan 15;33(1):66-69. doi: 10.7507/1002-1892.201807141.
To investigate the effectiveness of relay flap on repairing skin and soft tissue defect of auricle and donor site.
Between May 2014 and January 2016, 10 patients with auricular tumor were repaired by relay flap. There were 4 males and 6 females with an average age of 35 years (range, 21-69 years). There were basal cell carcinoma in 2 cases, pigmented nevus in 3 cases, papilloma in 4 cases, and Bowen's disease in 1 case. The size of the residual wound after tumor resection ranged from 1.1 cm×1.0 cm to 2.3 cm×1.7 cm. The superficial temporal artery posterior auricular perforator flap was used to repair the auricle defect wound. The size of flap ranged from 1.5 cm×1.4 cm to 2.8 cm×2.0 cm. The first donor site was repaired with the posterior auricular artery perforator propulsive flap. The size of flap ranged from 4.0 cm×2.0 cm to 7.5 cm×3.0 cm. The wound of the second donor site was sutured directly at the first stage.
All the flaps survived. The donor and recipient sites healed by first intention. The patients were followed up 10-28 months, with an average of 14.2 months. The appearance of reconstructed auricle was satisfactory, and the tumor had no recurrence. The appearance, color, texture, and thickness of the flaps were basically consistent with the recipient site, without obvious scar, traction deformity, or obvious abnormal sensation.
The relay flap has advantages of reliable blood supply, the simple operation method, the concealed donor site, which is a good choice to repair the skin and soft tissue defect of auricle and donor site.
探讨接力皮瓣修复耳廓皮肤软组织缺损及供区的效果。
2014年5月至2016年1月，对10例耳廓肿瘤患者采用接力皮瓣修复。其中男性4例，女性6例，平均年龄35岁（21 - 69岁）。基底细胞癌2例，色素痣3例，乳头状瘤4例，鲍温病1例。肿瘤切除后残余创面大小为1.1 cm×1.0 cm至2.3 cm×1.7 cm。采用颞浅动脉耳后穿支皮瓣修复耳廓缺损创面，皮瓣大小为1.5 cm×1.4 cm至2.8 cm×2.0 cm。第一供区采用耳后动脉穿支推进皮瓣修复，皮瓣大小为4.0 cm×2.0 cm至7.5 cm×3.0 cm。第二供区创面一期直接缝合。
所有皮瓣均成活。供区和受区均一期愈合。患者随访10 - 28个月，平均14.2个月。再造耳廓外形满意，肿瘤无复发。皮瓣的外观、颜色、质地及厚度与受区基本一致，无明显瘢痕、牵拉畸形或明显异常感觉。
接力皮瓣血供可靠，手术方法简单，供区隐蔽，是修复耳廓皮肤软组织缺损及供区的良好选择。
