应用耳区皮瓣和颞浅筋膜神经岛状瓣的一期耳再造

One Stage Ear Reconstruction by Using the Auricular Skin Flap and a Neurovascular Island Flap of Superficial Temporal Fascia

目的 :报告一种应用耳区皮瓣和颞浅筋膜神经岛状瓣的一期耳再造方法。方法 :应用耳区皮瓣和颞浅筋膜神经岛状瓣一期再造耳 4 1例。支架分别用自体肋软骨、硅橡胶和多孔聚乙烯 (MEDPOR)材料。结果 :2 9例软骨支架和 3例MEDPOR支架无任何即时并发症。 3例软骨支架再造耳有所变形。 2例硅橡胶支架在术后 1～ 3个月内外露。经 3个月～ 11年的随访 ,再造耳形态满意 ,色泽良好并能恢复部分感觉功能。结论

Objective: To report a technique of one stage ear reconstruction by using the auricular skin flap and a neurovascular island flap of superficial temporal fascia. Methods: 41 ears were reconstructed by using the auricular skin flap and a superficial temporal fascia flap in one stage. The material of auricular framework include autogenous rib cartilage, silicone and porous polyethylene(MEDPOR). Results: No any complication had been encountered in 29 reconstructed ears with cartilage framework and 3 ears with MEDPOR framework. Two silastic frameworks were extruded one to three months after surgery. 3 reconstructed ears with cartilage framework have some deformity. Under 3 months to 11 years follow-up, the profile of the reconstructed ear become much more delicate, and with pleasant color match. Adequate sensation could be recovered. Conclusion: The application of neurovascular island flap of superficial temporal fascia and auricular skin supply the satisfied cover tissue for auricular reconstruction.