应用旋转门皮瓣重建医源性前耳甲腔缺陷
Reconstruction of an iatrogenic anterior conchal defect with a revolving-door flap.
机构信息
Department of Plastic and Cosmetic Surgery, Xuzhou Central Hospital Affiliated to Medical Shool of Southeast University, No. 199, South Jie Fang Rd., Xuzhou, 221009, China.
Department of Plastic and Cosmetic Surgery, The Second Affiliated Hospital of Soochow University, No. 1055, San Xiang Rd., Suzhou, 215004, China.
出版信息
BMC Surg. 2021 Jan 6;21(1):25. doi: 10.1186/s12893-020-01020-2.
BACKGROUND
Auricular concha has been widely used as a supporting material in rhinoplasty or repairing of auricular defects. However, complications, trauma or iatrogenic excision often result in concha defects which destroy the normal structure of the external ear and further influence daily life. Local flaps are often applied to repair the defects because of their safety and satisfactory functional and aesthetic results.
CASE PRESENTATION
We report a 24-year-old female who presented with a concha defect that resulted from a complication of concha cartilage graft for rhinoplasty. The anterior concha defect was covered by a revolving-door (RD) flap as a single-stage procedure. The aesthetic and functional outcomes were satisfactory at 6 months post operation.
CONCLUSION
We recommend the RD flap as an excellent choice for conchal defect reconstruction. Satisfactory aesthetic and functional results can be achieved by this easy-to-learn technique in relatively short surgical time.
背景
耳甲已被广泛应用于鼻整形术或修复耳畸形的支撑材料。然而，并发症、外伤或医源性切除常常导致耳甲缺陷，破坏外耳的正常结构，进一步影响日常生活。由于局部皮瓣具有安全性和满意的功能及美学效果，因此常被用于修复这些缺陷。
病例介绍
我们报告了一例 24 岁女性患者，因耳软骨移植行鼻整形术的并发症导致耳甲缺损。采用旋转门（RD）皮瓣作为一期手术覆盖前耳甲缺损。术后 6 个月，患者的美学和功能效果均令人满意。
结论
我们推荐 RD 皮瓣作为耳甲缺损重建的一种极佳选择。这种易于学习的技术，手术时间相对较短，可获得满意的美学和功能效果。
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