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耳后带蒂皮瓣修复耳廓边缘缺损的再探讨

Postauricular Tubed Flap in the Reconstruction of Auricular Margin Defects: Revisited.

作者信息

Sinha Aparna, Baranwal Shilpi, Babu Vaddi Suman, Jha Manoj Kumar

机构信息

Department of Plastic Surgery, RIMS, Ranchi, Jharkhand, India.

Department of Burn, Plastic and Maxillofacial Surgery, ABVIMS and Dr. RML Hospital, New Delhi, India.

出版信息

Indian J Plast Surg. 2021 Apr;54(2):197-200. doi: 10.1055/s-0041-1729508. Epub 2021 Jun 22.

Abstract

Reconstruction of the auricular margin defects is challenging due to the ear's intricate architecture. Tubed flap raised from the postauricular area is a simple and reliable option for reconstructing marginal defects.  Eight patients with various auricular margin defects were reconstructed, using a postauricular tubed flap in a staged manner. Parameters like flap survival, reliability, complications, and cosmesis were assessed.  Out of eight patients, one patient had marginal necrosis, which was managed with debridement and lengthening of the flap. All the flaps settled well with a good aesthetic outcome.  Postauricular tubed flap is a reliable and efficient method for reconstructing auricular margin defects.

摘要

由于耳朵结构复杂,耳廓边缘缺损的重建具有挑战性。从耳后区域掀起的管状皮瓣是重建边缘缺损的一种简单可靠的选择。 对8例各种耳廓边缘缺损患者进行分期使用耳后管状皮瓣重建。评估皮瓣存活、可靠性、并发症和美容效果等参数。 在8例患者中,1例出现边缘坏死,通过清创和延长皮瓣进行处理。所有皮瓣均顺利愈合,美容效果良好。 耳后管状皮瓣是重建耳廓边缘缺损的一种可靠且有效的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f6/8257323/70a26e08afc6/10-1055-s-0041-1729508_9_0874_01.jpg

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