耳后沟皮瓣在耳再造术中的应用

Application of retroauricular groove flap in reconstruction of ear

目的 :探讨耳后沟皮瓣用于耳再造术的效果。方法 :利用残耳或多余皮肤设计带蒂的耳后沟皮瓣修复耳后沟。结果 :36例耳后沟皮瓣均成活 ,再造耳有明显的颅耳角度 ,增强了与健耳的对称性。结论 :耳后沟皮瓣设计法能维持再造耳在头部的颅耳角度 ,避免了因游离皮片孪缩致耳郭贴附变形 ,增强了再造耳的形态美 。

Objective:To explore the application of retroauriclar groove flap in reconstruction of ear.Method:A retroauricular groove flap with pedicel was designed to reconstruct retroauricular groove.Result:36 cases of retroauricular groove flap through this surgery were survived,and reconstituted auricles had obvious skull-auricles angle,the symmetry of reconstituted auricles were improved.Conclusion:This method of retroauricular groove flap can maintain skull-auricle angle of reconstituted auricle,overcome the defect bringed by contraction of dissociative skin graft,and improve the aesthetic feeling of reconstituted auricle.