再造耳廓三期修复抬高耳颅角56例临床报道

发布时间：2019-01-03 10:35

【摘要】：目的探讨耳廓再造术后三期中利用耳甲腔部残留组织抬高耳颅角的一种方法方法于再造耳廓的耳甲腔位置做一蒂在耳屏位置的半圆形切口,切开皮肤剥离皮肤之下的筋膜瓣组织至合适的耳甲腔大小,将此筋膜瓣带蒂通过隧道牵拉反折至耳支架后方耳颅角处固定,使患侧耳颅角抬高,耳甲腔及耳颅角处分别植皮。结果本组患者共56例,均应用此方法抬高耳颅角,术后随访患者40例,随访时间6-14个月,平均随访时间11个月,术后耳颅角维持在20-30°,外形美观,患者满意。结论耳甲腔下筋膜瓣组织转移行耳颅角抬高手术方式简便可行,安全,并发症少,是值得推广的一种方法。
[Abstract]:Objective to explore a method of raising the cranial angle of the auricular cavity with residual tissue in the third stage of auricular reconstruction to make a semicircular incision with pedicle in the position of the auricle of the reconstructed auricle. The fascia flap under the skin was cut off to the appropriate size of the ear teal cavity. The fascia flap with pedicle was pulled through the tunnel to fix the cranial angle behind the auricular bracket, so that the cranial angle of the affected lateral ear was raised, and the teal cavity and the horn of the ear were grafted separately. Results 56 cases were treated with this method. 40 cases were followed up for 6-14 months, the average follow-up time was 11 months. The postoperative cranial angle was maintained at 20-30 掳, the appearance was beautiful and the patients were satisfied. Conclusion the operative method of cranial angle elevation with tissue metastasis of submetacral fascia flap is simple and feasible, safe and has less complications, so it is worth popularizing.
【作者单位】：河北联合大学附属医院整形科;
【分类号】：R764

【参考文献】