全扩张“单瓣法”外耳再造在耳廓畸形患者中的应用

Full Expansion"Single Pedicle Flap"in Ear Reconstruction for Auricle Deformities

目的探讨全扩张“单瓣法”外耳再造在耳廓畸形患者中的应用及效果。方法总结2019年1月—2022年9月武警部队山东省总队医院155例(162耳)耳廓畸形患者,全部采用全扩张“单瓣法”外耳再造。结果术后随访3个月~3年,155例(162耳),其中5例术后出现再造耳术腔血肿,经更换负压引流管或穿刺抽血肿后治愈;5例术后出现软骨支架外露,经局部拉拢缝合、带蒂皮瓣转移或带蒂颞肌筋膜瓣覆盖外露软骨支架局部植皮修复等处理后治愈。全部病例最终均获得满意效果,再造耳廓位置与健耳对称,再造耳廓皮肤颜色正常,耳廓细微结构显示清晰。结论全扩张“单瓣法”外耳再造效果确切,术后并发症少,是耳廓畸形患者外耳再造较为理想的方法。

Objective To report outcomes of ear reconstruction using full expansion single pedicle flaps for auricle deformities.Methods Data from 155 cases(162 ears)of auricle deformity treated by the full expansion"single pedicle flap"technique from January 2019 to September 2022 were reviewed.Results Followe-ups were from 3 months to 3 years.Postoperative complications included hematoma(5 cases)which was successfully managed by vacuum or puncture drainage;and exposure of cartilage scaffold(5 cases)successfully managed by transposition of local skin,pedicled skin flaps or local skin graft supported by pedicled temporalis myofascial flaps.Final results were satisfactory in all cases,with acceptable symmetry,normal skin color and detailed fine structures.Conclusion Full expansion"single pedicle flaps"are an ideal technique for patients with auricle malformation,with predictable results and low rates of postoperative complications.