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MOHS 显微外科术后耳缺损重建中的皮瓣转移。

Transposition Flaps in the Reconstruction of Auricular Defects after MOHS Micrographic Surgery.

出版信息

Chirurgia (Bucur). 2022 Jun;117(3):349-356. doi: 10.21614/chirurgia.2741.

DOI:10.21614/chirurgia.2741
PMID:35792545
Abstract

Closing of ear defects can be a significant surgical challenge, due to the complex three-dimensional cartilaginous structure of this region. Patients and We present a series of 5 retrospective cases of defects on the ear, left after Mohs micrographic surgery for skin cancer, that were repaired with transposition flaps and their Discussions and Conclusion: There are various surgical procedures described for the reconstruction of an ear defect, including local flaps, skin grafts, and even healing by secondary intention. In our opinion, transposition flaps can be a good option when dealing with defects of the tragus, chonca, triangular fossa, superior part of the helix, or even the medial part of the ear. It allows for reconstruction in a single surgical step with decreased morbidity and favorable cosmetic results.

摘要

耳缺损的关闭可能是一个重大的手术挑战,因为该区域的三维软骨结构很复杂。患者和我们介绍了一系列 5 例回顾性病例,这些病例是由于皮肤癌的 Mohs 显微手术切除后遗留的耳缺损,通过皮瓣转移进行修复,并讨论和结论:有各种手术程序可用于重建耳缺损,包括局部皮瓣、皮肤移植,甚至二期愈合。在我们看来,当处理耳屏、舟状窝、三角窝、耳轮上缘甚至耳内缘的缺损时,皮瓣转移术是一个不错的选择。它可以在单次手术中进行重建,减少发病率,并获得良好的美容效果。

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