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回顾耳后旋转门岛状皮瓣:我们的经验。

Revisiting the retroauricular revolving door island flap: Our experience.

作者信息

Mora Sánchez Carolina, Oishi Natsuki, Campos Catalá Agustín, Zapater Latorre Enrique

机构信息

Department of otorhinolaryngology, University General Hospital, Valencia, Spain.

Surgery Department, Valencia Medical School, University of Valencia, Valencia, Spain.

出版信息

J Laryngol Otol. 2025 Feb;139(2):146-148. doi: 10.1017/S0022215124001440. Epub 2024 Oct 21.

Abstract

OBJECTIVES

Surgical treatment of auricular concha, the helix root and the external auditory canal tumours, and their reconstruction, is a challenge because of the complexity of this anatomic region and the significant functional and aesthetic requirements of these treatments. The purpose of this study is to describe our experience with the retroauricular revolving door island flap technique.

METHOD

This was a retrospective descriptive study (series of nine clinical cases) conducted between 2020 and 2023 of revolving door island flap reconstruction of auricular conchal and external auditory canal defects caused by tumour removal.

RESULTS

In all the cases, tumour-free margins and total reconstruction of the defect were achieved through the revolving door island flap intervention, with optimal aesthetic and functional results.

CONCLUSION

Revolving door island flap reconstruction is a viable surgical option for the reconstruction of auricular conchal and external auditory canal defects because of its versatility, reproducibility, low post-operative morbidity and optimal results.

摘要

目的

耳廓耳甲腔、耳轮根部及外耳道肿瘤的手术治疗及其重建是一项挑战,因为该解剖区域复杂,且这些治疗对功能和美观有很高要求。本研究的目的是描述我们应用耳后旋转门岛状皮瓣技术的经验。

方法

这是一项回顾性描述性研究(9例临床病例系列),于2020年至2023年期间对因肿瘤切除导致的耳廓耳甲腔和外耳道缺损采用旋转门岛状皮瓣重建进行研究。

结果

在所有病例中,通过旋转门岛状皮瓣干预实现了切缘无肿瘤且缺损完全重建,获得了最佳的美观和功能效果。

结论

旋转门岛状皮瓣重建是耳廓耳甲腔和外耳道缺损重建的一种可行手术选择,因其具有多功能性、可重复性、术后发病率低及效果最佳等特点。

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