耳后V-Y推进法修复轻中度耳垂缺损的疗效观察

发布时间：2018-06-30 21:01

本文选题：耳垂缺损 + V-Y推进法　；参考：《中国修复重建外科杂志》2016年11期

【摘要】：目的探讨采用耳后V-Y推进法修复轻中度耳垂缺损的疗效。方法 2014年9月-2015年7月,采用耳后V-Y推进法修复6例耳垂缺损患者。男1例,女5例;年龄18~30岁,平均23岁。左侧2例,右侧4例。先天性耳垂缺损2例;继发性耳垂缺损4例,其中1例伴上耳廓先天性畸形。根据自定耳垂缺损分度标准:轻度缺损5例,中度缺损1例。结果术后切口均Ⅰ期愈合,皮瓣顺利成活。6例患者均获随访,随访时间3~12个月,平均9个月。再造耳垂大小、形态较自然,质地、色泽与周缘接近,曲线弧度流畅。患者对术后效果较满意。结论采用耳后V-Y推进法修复轻中度耳垂缺损,可以获得自然的耳垂形态,是一种安全、理想的耳垂再造方法,可达到矫饰性修复与重建的目的。
[Abstract]:Objective to evaluate the effect of retroauricular V-Y propulsive method in the repair of mild to moderate ear lobe defects. Methods from September 2014 to July 2015, retroauricular V-Y propulsive method was used to repair 6 cases of ear lobe defect. The age was 1830 years (mean 23 years). Left 2 cases, right 4 cases. There were 2 cases of congenital lobe defect and 4 cases of secondary ear lobe defect, of which 1 case was accompanied by congenital malformation of upper auricle. According to the grading criteria of self-determined ear lobe defect, 5 cases were mild defect and 1 case was moderate defect. Results all the incisions healed in the first stage, and the skin flap survived successfully in 6 cases. The follow-up time was 3 ~ 12 months (mean 9 months). The reconstructed earlobes are natural in size, natural in shape, close to the rim in color and smooth in curve. The patients were satisfied with the postoperative results. Conclusion using retroauricular V-Y propulsive method to repair mild and moderate lobe defects can obtain natural earlobe morphology. It is a safe and ideal method for earlobe reconstruction and can achieve the purpose of cosmetic repair and reconstruction.
【作者单位】：潍坊医学院整形外科研究所;潍坊医学院整形外科医院整形外科;潍坊医学院附属医院皮肤科;菏泽市单县中心医院烧伤整形科;
【基金】：山东省自然科学基金资助项目(ZR 2014 HL 054) 山东省高等学校科技计划项目(J 14 LL 08)~~
【分类号】：R764.9;R622

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