Huseynov Jamal, Haxel Boris, Fischer Miloš, Fischer Iris-Susanne
HNO-Heilkunde, Kopf- und Halschirurgie, Schwarzwald-Baar Klinikum Villingen-Schwenningen GmbH, Villingen-Schwenningen, Germany.
Laryngorhinootologie. 2022 Aug;101(8):638-645. doi: 10.1055/a-1792-2194. Epub 2022 Apr 25.
Injuries of the auricle can range from simple lacerations to complete avulsions. Many techniques of ear replantation have been described in the literature in addition to the type and extent of the involved auricular structures. A direct reattachment of the amputated pinna without microsurgery is rarely successful due to necrosis of the avulsed fragment. Whereas, reconstructions with pocket methods and their variations might lead to better results. In this article we would like to discuss some of these approaches and demonstrate a two-stage reconstruction technique for subtotal avulsion of the auricle.
耳廓损伤的范围可从简单的撕裂伤到完全撕脱伤。除了受累耳廓结构的类型和范围外,文献中还描述了许多耳再植技术。由于撕脱碎片坏死,在没有显微外科手术的情况下直接重新连接断离的耳廓很少成功。而采用袋状法及其变体进行重建可能会取得更好的效果。在本文中,我们将讨论其中一些方法,并展示一种用于耳廓次全撕脱伤的两阶段重建技术。