颞浅动脉额支皮瓣与逆行耳后动脉皮瓣联合修复耳前皮肤软组织缺损

Repair of the preauricular defects by the superficial temporal artery frontal branch flap and the retrograde retroauricular artery flap

目的探讨利用颞浅动脉额支皮瓣与逆行耳后动脉皮瓣联合修复耳前皮肤软组织缺损的可行性及效果。方法于患侧颞部及耳后无毛区，分别设计带毛发的颞浅动脉额支皮瓣和无毛发的逆行耳后动脉皮瓣，以前者重建鬓角，后者修复鬓角与耳屏之间的无毛发区。供区直接拉拢缝合。结果2012年9月至2015年9月，于临床应用9例，皮瓣全部成活，供、受区切口均一期愈合，9例获得6～18个月随访，平均10个月，术区平整，耳前形态满意，远期瘢痕不明显。结论应用颞浅动脉额支皮瓣与逆行耳后动脉联合修复耳前区较大面积皮肤缺损，辅助切口少而隐蔽，方法简单，能同时重建耳前无毛区及鬓角，外观满意。

Objective To investigate the feasibility and effectiveness of the superficial temporal artery frontal branch flap combine with the retrograde retroauricular artery flap in repairing the preauricular defects. Methods The superficial temporal artery frontal branch flap with hair is designed for sideburns reconstruction, and the hairless retrograde retroauricular artery flap for repair the hairless area which is between the tragus and the temples. The donor sites were closed directly. Results From September 2012 to September 2015, 9 cases were treated. All flaps survived completely. Surgical incisions and wounds at donor sites and recipient sites healed primarily. All cases were followed up for 6 - 18 months （ 10 months on average） and cosmetic results were satisfactory without visible sear. Conclusions The method of the superficial temporal artery frontal branch flap combined with the retrograde retroauricular artery flap for the repair of preauricular a large skin defect is simple with less and ineonspicious auxiliary incision. The sidebums and hairless area can be simuhaneously reconstructed with satisfactory appearance.