耳后V-Y推进法修复轻中度耳垂缺损的疗效观察

EFFECTIVENESS OF V-Y ADVANCED RETROAURICULAR FLAP FOR REPAIRING MILD AND MODERATE EARLOBE DEFECTS

目的？探讨采用耳后V-Y推进法修复轻中度耳垂缺损的疗效。方法？2014年9月-2015年7月,采用耳后V-Y推进法修复6例耳垂缺损患者。男1例,女5例;年龄18~30岁,平均23岁。左侧2例,右侧4例。先天性耳垂缺损2例;继发性耳垂缺损4例,其中1例伴上耳廓先天性畸形。根据自定耳垂缺损分度标准：轻度缺损5例,中度缺损1例。结果？术后切口均Ⅰ期愈合,皮瓣顺利成活。6例患者均获随访,随访时间3~12个月,平均9个月。再造耳垂大小、形态较自然,质地、色泽与周缘接近,曲线弧度流畅。患者对术后效果较满意。结论？采用耳后V-Y推进法修复轻中度耳垂缺损,可以获得自然的耳垂形态,是一种安全、理想的耳垂再造方法,可达到矫饰性修复与重建的目的。

Objective To investigate the effectiveness of the V-Y advanced retroanricular flap for repairing mild and moderate earlobe defect. Methods Between September 2014 and July 2015, V-Y advanced retroauricular flap was used to repair earlobe defect in 6 patients. There were 1 male and 5 females, aged 18 to 30 years （mean, 23 years）. The left earlobe was involved in 2 cases and the right earlobe in 4 cases, including 2 cases of congenital earlobe defect and 4 cases of secondary earlobe defect; 1 patient had congenital deformity of upper anride. According to self-made criteria for earlobe defect, 5 cases were rated as mild defect and 1 case as moderate defect. Results All incisions healed at the first stage, and the flaps survived smoothly. The patients were followed up 3 to 12 months, with an average of 9 months. The reconstructed earlobes had natural size and shape, and smooth curve; the texture and color were close to the adjacent skin. The effectiveness was satisfactory. Conclusion The V-Y advanced retroauricular flap for repairing mild and moderate earlobe defect can achieve natural earlobe and aesthetic plastic effectiveness, so it is a safe and ideal earlobe reconstruction method.