Department of Plastic & Laser Cosmetology, Hunan Provincial People's Hospital & The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.
Department of Plastic Surgery, People's Hospital of Xiangxi Autonomous Prefecture & The First Affiliated Hospital of Jishou University, Jishou, Hunan, China.
Ear Nose Throat J. 2022 Dec;101(10):NP426-NP430. doi: 10.1177/0145561320973554. Epub 2020 Dec 9.
This article discusses a treatment technique for ectopic earlobe in microtia reconstruction using a delayed postauricular skin flap.
From January 2015 to September 2018, microtia reconstruction using a delayed postauricular skin flap was performed on 10 patients with microtia. During the operation, the position of the affected-side earlobe was designed according to the position of the opposite side. The ectopic earlobe was corrected by performing asymmetric Z-plasty or using an irregular "Y-V" advancement skin flap. This allowed full use of the remnant tissue of the microtia-affected ear to form a soft, plump, and realistic earlobe.
After the earlobe displacement surgery, the blood supply of the earlobe was good, and the reconstructed earlobe survived well without ulceration in all 10 patients. All patients were followed up for 2 months to 2 years. During this time, the positions of the reconstructed ear and the healthy side were basically symmetrical, and the shape of the earlobe formed by the remnant ear was natural.
The use of asymmetric Z-plasty or an irregular "Y-V" advancement skin flap for the treatment of ectopic earlobe in microtia reconstruction using a delayed postauricular skin flap is a safe and effective method.
本文探讨了应用延迟的耳后皮瓣治疗小耳畸形再造术中的异位耳垂的一种治疗技术。
自 2015 年 1 月至 2018 年 9 月，应用延迟的耳后皮瓣对 10 例小耳畸形患者进行了再造术。手术中，根据对侧的位置设计患侧耳垂的位置。通过进行不对称的 Z 成形术或使用不规则的“Y-V”推进皮瓣来矫正异位耳垂，以便充分利用小耳畸形患耳的残余组织，形成柔软、丰满、逼真的耳垂。
10 例患者耳垂移位手术后，耳垂血供良好，再造的耳垂均未发生溃疡，全部存活。所有患者均随访 2 个月至 2 年。在此期间，再造耳与健侧的位置基本对称，由残余耳形成的耳垂形状自然。
应用不对称 Z 成形术或不规则的“Y-V”推进皮瓣治疗延迟的耳后皮瓣在小耳畸形再造术中的异位耳垂是一种安全有效的方法。
