本文關(guān)鍵詞：耳后超薄皮瓣在耳廓再造術(shù)中應(yīng)用　出處：《臨床醫(yī)藥文獻(xiàn)電子雜志》2017年03期 　論文類型：期刊論文

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【摘要】：目的探討耳后超薄皮瓣在耳廓再造術(shù)中的安全性、術(shù)后效果。方法選取我院2014年5月~2016年5月收治的先天性小耳畸形患者20例作為研究對(duì)象。整形外科采用耳后超薄皮瓣包裹自體肋軟骨支架對(duì)20例、21耳先天性小耳畸形患者行耳郭再造術(shù)。結(jié)果 20例共21耳完成耳廓再造,18例(85%)順利完成三期,未出現(xiàn)相關(guān)并發(fā)癥。結(jié)論 (1)利用耳后超薄皮瓣包裹自體肋軟骨支架行耳廓再造,取代筋膜瓣覆蓋加游離植皮,再造耳形態(tài)立體、自然,各解剖亞單位結(jié)構(gòu)清晰,耳顱角形態(tài)自然;(2)耳后超薄皮瓣下方保留三角瓣,增加耳后面積,減少耳后瘢痕增生;(3)減少擴(kuò)張法注水過(guò)程,減少患者痛苦;(4)配合激光去除皮瓣遠(yuǎn)端殘留毛發(fā),效果更佳;(5)保留耳后筋膜及顳淺筋膜,減少手術(shù)創(chuàng)傷,該結(jié)構(gòu)在軟骨支架外露,皮膚缺損時(shí)行修復(fù)使用。
[Abstract]:Objective to investigate the safety of retroauricular skin flap in auricle reconstruction. Methods from May 2014 to May 2016, 20 patients with congenital microauricular malformation were selected as the study objects. Plastic surgery was performed by using a super-thin posterior ear flap wrapped with autogenous costal cartilage scaffold. 20 cases. 21 ears with congenital microauricular malformation underwent auricle reconstruction. Results 20 cases (21 ears) completed auricle reconstruction in 18 cases (85 cases). Conclusion 1) Autologous costal cartilage scaffold was reconstructed by using super-thin posterior ear flap, instead of fascia flap and free skin graft, the shape of ear reconstructed was stereoscopic and natural.Conclusion\\\; The structure of each anatomical subunit was clear and the cranial horn was naturally formed. (2) the triangular flap was retained below the ultra-thin posterior ear flap to increase the area behind the ear and reduce the scar hyperplasia; (3) reducing the process of water injection by dilatation and reducing the pain of the patients; (4) combined with laser to remove the residual hair from the distal end of the flap, the effect is better; (5) preserving the posterior ear fascia and superficial temporal fascia to reduce the surgical trauma. The structure is used when the cartilage scaffold is exposed and the skin defect is repaired.
【作者單位】： 山東省濰坊市昌邑市人民醫(yī)院;
【分類號(hào)】：R764.9;R622
【正文快照】： 1資料與方法1.1一般資料選取我院2014年5月~2016年5月收治的先天性小耳畸形患者20例作為研究對(duì)象。選擇病例完整,既往耳部無(wú)手術(shù)史,乳突區(qū)皮膚質(zhì)地良好,無(wú)創(chuàng)傷性疤痕的先天性小耳畸形患者20例,接受耳廓再造術(shù)21例,男16例,女4例,左側(cè)8例,右側(cè)11例,雙側(cè)1例,年齡7~32歲,平均15歲,

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1 李元慶;;耳后超薄皮瓣在耳廓再造術(shù)中應(yīng)用[J];臨床醫(yī)藥文獻(xiàn)電子雜志;2017年03期

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本文編號(hào)：1392263