The Seven Department, Chinese Academy of Medical Sciences and Peking Union Medical College Plastic Surgery Hospital and Institute, Shijingshan District, Beijing, China.
Facial Plast Surg. 2021 Jun;37(3):354-359. doi: 10.1055/s-0040-1719101. Epub 2020 Oct 21.
The external ear is highly vulnerable to burn injury due to its location and thin integument. Reconstruction of the external ear after burns is a major challenge to undertake, and surgeons face many problems, including excessive scar tissue, poor blood supply, a paucity of available skin, and a high infection rate, when designing an operative plan for patients with postburn auricular deformity. In this article, the authors describe their experience of using an expanded postauricular scar flap combined with a postauricular fascial flap as the coverage for the framework for subtotal and total ear reconstruction in 27 burned patients. Four patients developed expander exposure and two developed framework exposure, which were resolved with good results after further repair. After an average follow-up time of 6 months, all of the patients experienced very good cosmetic outcomes, high satisfaction, and low morbidity.
外耳由于其位置和薄的外皮，极易受到烧伤损伤。烧伤后外耳的重建是一项重大挑战，外科医生在为烧伤后耳廓畸形患者设计手术方案时面临许多问题，包括过多的疤痕组织、血液供应不良、可用皮肤有限和高感染率。在本文中，作者描述了他们在 27 例烧伤患者中使用扩张后的耳后瘢痕皮瓣联合耳后筋膜瓣作为覆盖物，为部分和全耳再造的支架的经验。有 4 例患者发生扩张器外露，2 例发生支架外露，经进一步修复后均取得良好效果。平均随访 6 个月后，所有患者均获得非常好的美容效果，满意度高，发病率低。
