耳部轴型皮瓣的临床运用

发布时间：2019-01-14 06:53

【摘要】：目的探讨耳部轴型皮瓣在耳廓、耳周皮肤及组织缺损修复中的临床运用价值。方法回顾性分析我院采用含颞浅动脉、耳后动脉的耳前后轴型皮瓣修复因肿瘤、外伤、感染等原因造成的耳廓皮肤、软骨及耳前皮肤组织缺损的16例患者的临床资料,所有病例均采用耳前、耳后轴型皮瓣转移至缺损处修复缺损,行二期断蒂及皮瓣整复术。结果 16例患者转移皮瓣全部存活,断蒂后皮瓣移植区皮片色泽正常、能最大程度维持耳廓的外观形态。结论轴型皮瓣血供好,皮瓣存活率高,尤其适用于修复血循环差的部位如耳廓的缺损,且轴型皮瓣丰富的血供对于防止感染造成菜花耳畸形,有一定的临床应用价值
[Abstract]:Objective to evaluate the clinical value of auricular axial flap in repairing skin and tissue defects of auricle and periauricle. Methods the clinical data of 16 patients with defects of auricle skin, cartilage and preauricular skin caused by tumor, trauma and infection were analyzed retrospectively. All cases were treated with anterior and posterior axial flaps to repair the defects. Results all of the 16 patients survived, and the skin grafts were normal in color and color, which could maintain the appearance of auricle as much as possible. Conclusion the axial flap has good blood supply and high survival rate, which is especially suitable for repairing the defect of the auricle. The abundant blood supply of the axial flap is valuable in preventing the infection of cauliflower ear malformation.
【作者单位】：泸州医学院附属医院耳鼻咽喉头颈外科;
【分类号】：R764.9

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