耳前易位皮瓣在耳甲腔皮肤缺损修复中的作用

发布时间：2018-02-10 08:11

本文关键词： 耳前皮瓣耳甲腔缺损皮肤　出处：《临床皮肤科杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的:评价耳甲腔皮肤肿物切除后采取耳前易位皮瓣转移修复治疗的临床效果。方法:8例耳甲腔体表肿瘤患者中色素痣3例,脂溢性角化病3例,基底细胞癌2例。肿瘤范围0.4 cm×0.4 cm~2.5 cm×2.0 cm。根据肿瘤不同性质、大小和范围,选择不同术式完整切除肿瘤,并行耳前易位皮瓣转移修复,术后7~10 d拆线。结果:术后患者切口Ⅰ期愈合7例,其中1例愈合过程出现皮瓣远端肿胀及发紫,皮瓣均成活。8例患者随访6个月~1年,耳郭无明显变形,瘢痕隐蔽,患者对效果满意。结论:耳前易位皮瓣修复耳甲腔体表肿瘤切除后的皮肤缺损效果较好,具有术后瘢痕小,色泽质地与周围皮肤接近,供区隐蔽的优点,手术操作简单,适合皮肤科医生在门诊局麻手术中应用。
[Abstract]:Objective: To evaluate the postauricular skin after tumor resection by clinical effect of preauricular flap translocation therapy. Methods: 8 cases of auricular cavity surface tumor in patients with 3 cases of pigmented nevus, 3 cases of seborrheic keratosis, 2 cases of basal cell carcinoma. The tumor was 0.4 cm * 0.4 cm~2.5 * 2 cm cm. according to the different tumor the nature, size and scope, select different surgical complete resection of the tumor, parallel preauricular flap translocation, postoperative 7~10 D stitches. Results: 7 cases were healed after surgery, including 1 cases of distal flap healing appeared swelling and purple, the flaps survived patients were followed up for 6 months ~1 years.8 the auricle, no deformation, hidden scars, with satisfactory results. Conclusion: anterior auricular concha flap translocation of superficial tumor after resection of skin defect with good effect, little postoperative scar color, texture and skin around the area close to merit for covert operation, It is easy to operate and is suitable for Department of Dermatology doctors to be used in out-patient local anesthesia.

【作者单位】：中南大学湘雅二医院皮肤科医学美容中心;常德市第二人民医院皮肤科;
【分类号】：R739.5

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