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再探耳后(旋转门)岛状蒂皮瓣

The postauricular (revolving door) island pedicle flap revisited.

作者信息

Humphreys T R, Goldberg L H, Wiemer D R

机构信息

Department of Dermatology, Baylor College of Medicine, Houston, Texas, USA.

出版信息

Dermatol Surg. 1996 Feb;22(2):148-50. doi: 10.1111/j.1524-4725.1996.tb00496.x.

Abstract

BACKGROUND

Few satisfactory closure options exist for large anterior auricular defects.

OBJECTIVE

To describe the use of the postauricular (revolving door) island pedicle flap for closure of large defects on the scapha, antihelix, and helix.

METHODS

Mohs micrographic surgery for excision of basal cell carcinoma was performed on the anterior auricular surface of two patients. Both defects were closed using a posterior auricular island flap that was advanced through cartilage with excellent cosmetic results. Other closure options are discussed for this region.

CONCLUSION

The postauricular (revolving door) island pedicle flap is a good closure option for large anterior auricular defects lacking perichondrium and not easily repaired by other methods.

摘要

背景

对于大型耳廓前部缺损,几乎没有令人满意的闭合方法。

目的

描述使用耳后(旋转门)岛状带蒂皮瓣闭合舟状窝、对耳轮和耳轮上的大型缺损。

方法

对两名患者的耳廓前表面进行了莫氏显微外科手术以切除基底细胞癌。两个缺损均使用通过软骨推进的耳后岛状皮瓣进行闭合,美容效果极佳。本文还讨论了该区域的其他闭合方法。

结论

耳后(旋转门)岛状带蒂皮瓣是闭合缺乏软骨膜且不易用其他方法修复的大型耳廓前部缺损的良好选择。

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