Firmin F, Gratacap B, Manach Y
Clinique Georges Bizet, Paris, France.
Scand J Plast Reconstr Surg Hand Surg. 1998 Mar;32(1):49-62. doi: 10.1080/02844319850158949.
In this paper we introduce the use of a subgaleal flap to construct the auditory canal in cases of microtia associated with aural atresia. The anatomy, the vascularisation, and the nomenclature of the different planes that constitute the temporal region are wellknown. The subgaleal fascia, also referred to as the loose areolar fascia has been until now the less surgically exploited of these planes. Nevertheless, it has a structure and a vascularisation that enables it to be dissected and used surgically. The subgaleal flap used to line the neoauditory canal drilled into the bone provides a vascular bed that greatly improves the quality of the skin graft and supports the tympanoplasty. The procedure is done while the ear is being raised, which constitutes the second stage of the two-stage ear reconstruction. This new approach has been used on 22 ears. A preliminary analysis of the results shows that construction of the auditory canal has been improved.
在本文中，我们介绍了在伴有外耳道闭锁的小耳畸形病例中使用帽状腱膜下皮瓣构建耳道的方法。构成颞区的不同平面的解剖结构、血管分布及命名都是众所周知的。帽状腱膜下筋膜，也称为疏松结缔组织筋膜，迄今为止在这些平面中较少被用于外科手术。然而，它具有一种结构和血管分布，使其能够被解剖并用于外科手术。用于衬里钻入骨内的新耳道的帽状腱膜下皮瓣提供了一个血管床，极大地提高了皮肤移植的质量并支持鼓膜成形术。该手术在耳部提升时进行，这是两期耳再造的第二阶段。这种新方法已应用于22只耳朵。对结果的初步分析表明，耳道的构建得到了改善。
