摘要
目的 总结游离裂层皮片与全层皮片应用于外耳道成形术中的初步体会。方法 7例外耳道皮肤缺损患者,5例以游离裂层皮片修复,2例使用游离全层皮片修复,观察并总结其术后效果。结果 7例患者术后皮片均全部存活。游离裂层皮片和游离全层皮片修复后外耳道扩张时间分别为6-15个月和4-6周。经1-4年远期随访,多数患者外耳道口直径在6-7mm×7-8mm之间。结论在外耳道成形术中,游离全层皮片的效果优于裂层皮片。
Objective To sum up the clinical experience in the application of free flap for reconstruction of external auditory canal. Methods Seven cases with atresia of external auditory canal were included in this study, all being treated with external auditory canal reconstruction. Free split flap was used for 5 cases and free full thickness flap was used for 2 cases in the operation to reconstruct the external auditory canal. Then, the therapeutic effects of the procedures were analyzed and compared between the two groups. Results All the 7 cases were seen with the flaps growing well. The period needed to dilate the external auditory canal following the surgery was 4-6 weeks for those received free full thickness flap implanting and it was 6-15 months for those received free split flap implanting, most of them with the diameter of external canal opening being 6-7mm × 7-8mm. Conclusion Free full thickness flap is superior to free split flap for reconstruction of external auditory canal among cases with atresia of external auditory canal.
出处
《中国中西医结合耳鼻咽喉科杂志》
2005年第1期19-20,共2页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
