摘要
目的:探讨"双瓣"技术在耳廓再造中的应用。方法:第1期手术行皮肤定量扩张器埋置,注水治疗完毕后维持扩张1个月。第2期设计扩张的耳前皮瓣和未扩张的筋膜瓣,应用"双瓣"技术进行耳廓再造术。于2004-01-2008-12共应用扩张的耳前皮瓣和未扩张的耳后筋膜瓣的"双瓣"技术实施耳廓再造1427只。结果:扩张的耳前皮瓣能够清晰显现再造耳廓表面细微结构;未扩张的耳后筋膜瓣形成良好的颅耳沟,再造耳廓立体感强。结论:"双瓣"技术操作简单、并发症较少,再造耳廓不仅形态逼真而且具有立体结构。
Objective:To explore the technique of "two-flap" in ear reconstruction. Method:Quantitative tissue expansions were used in the mastoid area in the first stage. After the final injection, there was 1 month of sustaining time. Expanded skin flap and unexpanded fascia flap were designed in the second stage, so the "two-flap" technique was used in the ear reconstruction. From January 2004 to December 2008, 1 427 patients of mierotia were treated using "two-flap" technque. Result:The expanded skin flap could show the fine structures of the reconstructed ears. The reconstructed ears had vivid cranioauricular angle after using the unexpanded fascia flap. Conclusion: "Two flap" method was easily manipulated and the complications were rare, The reconstructed ears had lucid and three-dimensional contour.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2009年第22期1017-1019,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
卫生部临床学科重点项目(No:2004468)
国家自然科学基金资助项目(No:30570470
30500290)
关键词
“双瓣”技术
耳廓再造
耳前皮瓣
筋膜瓣
"two-flap" technique
ear reconstruction preauricular skin flap fascia flap