耳后带蒂随意皮瓣贯穿法修复耳廓皮肤缺损21例效果观察

Clinical efficiency of reconstruction of auricular skin defect with postauricular pedicle flap: report of 21 cases

目的探讨一种修复耳廓皮肤缺损的方法。方法 21例耳廓内肿物切除术后患者采用耳后皮瓣贯穿法修复耳廓皮肤缺损。结果本组21例患者术后皮瓣存活好,无坏死,术后10天拆线。术后随访6～28个月,肿物无复发,耳廓外观及皮肤色泽良好,患者满意。结论耳后带蒂皮瓣贯穿法修复耳廓皮肤软组织缺损,操作简单易行,皮瓣易于成活,无需断蒂,手术一次完成,耳廓外形恢复良好;供皮区位于耳后,瘢痕隐蔽;耳廓修复后整体颜色相近,有较好的临床应用价值,是一种较理想的修复耳廓皮肤软组织缺损的手术方法。

Objective To introduce a procedure for reconstructing the skin defect of auricle. Methods Twenty-one patients （aged 12-70 years） with skin defect of auricle were reconstructed with postauricular pedicle flap from May 2004 to July 2011. After re- secting the pathological tissue, postauricular pedicle flap was designed in suitable size and transfixed through the auricular cartilage tun- nel to reconstruct the skin defect of auricle. Results Most cases exhibited excellent skin color. Follow-up evaluations were performed at 6- and 12-month intervals after the procedure. There was no evidence of flap necrosis and other pathological changes. Conclusion This technique is easy and simple. The flap is easy to survival without breaking pediele. The procedure ean hide scars and make reconstruc- ted site have similar skin color to whole auricle. Therefore, this is a reliable surgical procedure for reconstruction of auricular skin defect.