耳后转移皮瓣修复耳廓软组织缺损18例体会

The experience of repairing auricular soft tissue defects by posterior auricular flap transfer in 18 cases

目的总结评价耳廓软组织缺损行耳后转移皮瓣修复的临床疗效。方法 2008~2011年对18例耳廓软组织缺损较大的患者采用耳后带蒂皮瓣进行修复。结果术后转移皮瓣全部成活。随访6个月~2年转移皮瓣皮肤颜色与耳廓及其周围皮肤颜色接近,外观基本恢复原有形态,柔韧性及外观基本无改变。结论耳后带蒂皮瓣修复耳廓部分缺损手术操作简单,可较好保持耳廓外型,皮瓣术后成活率高,且供瓣区位于耳后,瘢痕隐蔽,能达到满意的效果,是一种修复耳廓软组织缺损较好的方法。

Objective To summarize and evaluate the clinical efficacy of repairing auricular soft tissue defects by posterior auricular flap transfer. Methods 18 cases of patients with severe auricular soft tissue defects from 2008 to 2011 were se- lected and repaired by posterior auricular pedicel flap. Results After operation, all the transferred flaps were survived. Fol- lowed up for 6 months to 2 years, the skin color of transferred flaps were close to the auricle and surrounding skin, and the appearance almost returned to the original form, the flexibility and appearance almost had no change. Conclusion The op- eration of repairing auricular soft tissue defects by posterior auricular flap transfer is simple. It can better keep the auricula shape, has high sm,cival rate of flaps, and the valve area is located behind the ear, the scar is hidden, which can achieve satisfactory results. It is a better way to repair auricular soft tissue defects.