使用颞浅筋膜瓣进行耳部烧伤重建
Burned Ear Reconstruction Using a Superficial Temporal Fascia Flap.
作者信息
Guo Peipei, Jiang Haiyue, Yang Qinghua, He Leren, Lin Lin, Pan Bo
机构信息
The Seventh Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
出版信息
Ear Nose Throat J. 2021 Dec;100(10_suppl):1134S-1138S. doi: 10.1177/0145561320937620. Epub 2020 Jul 1.
OBJECTIVES
Ear deformity caused by burns is one of the most difficult types of deformity to treat with plastic surgery, and the reconstruction of burned ears undoubtedly remains a substantial challenge. This study aims to report the therapeutic regime of using a superficial temporal fascial flap to cover the framework in burned ear reconstruction.
METHODS
Autologous costal cartilage was used to form the ear framework in all of the reconstruction cases. A superficial temporal fascial flap was used as soft tissue to cover the ear scaffold.
RESULTS
Five patients with 6 ears were included in our study. The external ear healed well and the location, size, and shape of both ears were generally symmetrical. No complication was observed in any of the patients.
CONCLUSIONS
The superficial temporal fascial flap is a good choice for covering the autogenous cartilage framework when treating ear deformities after burns.
目的
烧伤所致耳部畸形是整形外科最难治疗的畸形类型之一，烧伤耳的重建无疑仍然是一项重大挑战。本研究旨在报告在烧伤耳重建中使用颞浅筋膜瓣覆盖支架的治疗方案。
方法
在所有重建病例中均使用自体肋软骨形成耳支架。使用颞浅筋膜瓣作为软组织覆盖耳支架。
结果
本研究纳入5例患者共6只耳。外耳愈合良好，双耳的位置、大小和形状基本对称。所有患者均未观察到并发症。
结论
在治疗烧伤后耳部畸形时，颞浅筋膜瓣是覆盖自体软骨支架的良好选择。
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