耳后皮瓣急诊即刻修复耳轮部分缺损的临床应用

Application on the clinical effect of immediate repair of part helix defect with flap on post aurem and mastoid region

目的:探讨耳后皮瓣急诊即刻修复耳轮缺损的临床效果。方法:采用耳后皮瓣即刻修复15例急诊外伤后耳轮皮肤及软骨部分缺损的患者,以耳轮缺损上方皮肤组织为蒂,向耳后乳突区接近颅耳角处绘出皮瓣,一般为3～4cm长,至少要保证1cm宽,在软骨膜上掀起皮瓣,向上旋转形成耳轮结构修复耳轮缺损。结果:15例耳轮部分缺损均在急诊环境下即刻修复,耳轮大小和形态满意,颅耳角无改变。随访1～3个月耳轮形态稳定。结论:耳后皮瓣可在急诊条件下即刻修复耳轮部分缺损,具有术式简单、皮瓣存活率高、一次能达到较满意外形的优点。

Objective:To investigate the clinical effect of the flap on post aurem and mastoid region on immediate repair of part helix defect.Method:Fifteen patients with part helix defect were immediately repaired using the flap on post aurem and mastoid region.Firstly,the skin tissue above the defect of the helix was used as the pedicle.The flap was drawn toward the post aurem and mastoid region closing to the auriculocephalic angle.The flap was generally 3-4 cm long and at least 1 cm wide.Secondly,the flap was lifted on the perichondrium,and the structure of the helix was formed by upward rotation of the flap to repair the defect of the helix.Finally,the flap was sutured to repair the helix defect.Result:Fifteen cases were applied with this method to repair immediately the defect in the emergency environment.The sizes of helix contour were satisfactory and the auriculocephalic angles had not changed.The ear shape was stable after 1 to 3 months of follow-up.Conclusion:The flap on post aurem and mastoid region could immediately repair the part helix defect.It has the advantages of simple operation,high flap survival rate and one-time satisfactory shape.