使用扩大的颈部皮瓣进行耳廓缺损的耳再造术:病例报告。

Huiming She, Xin Chen, Gaofeng Li, Xiren Long
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引用次数: 0

摘要

本病例报告描述了一名因 20 年前被火焰烧伤而导致左耳畸形的患者。患者接受了利用扩大的颈部皮瓣进行的耳部重建手术。自体肋软骨被用作框架,而扩大的颈部皮瓣被用作框架的覆盖物。手术分三个阶段完成。首先,植入组织扩张器,并逐渐用水充气。充分膨胀后,取出扩张器,切除疤痕组织。随后,用扩张的皮瓣覆盖缺损,并旋转扩张的颈部皮瓣,覆盖术中获得的自体肋软骨框架。最后,通过构建头耳沟、去除耳后疤痕和修剪颈瓣蒂来修复重建的耳朵。经过一年的随访,伤口愈合良好,仅有轻微并发症。重建后的耳朵外形逼真,功能得以保持。大部分疤痕得到了修复,疤痕性脱发也得到了明显改善。对于耳后皮瓣可用性有限的患者,尤其是烧伤患者,使用扩大的颈部皮瓣可以带来更好的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ear Reconstruction for Auricle Defects Using an Expanded Neck Flap: A Case Report.

This case report describes a patient with a left ear deformity resulting from a flame burn sustained 20 years ago. The patient underwent an ear reconstruction procedure utilizing an expanded neck flap. The autologous rib cartilage was used as the framework, while an expanded neck flap served as the covering for the framework. The surgery was completed in 3 stages. Initially, tissue expanders were implanted and gradually inflated with water. After sufficient expansion, the expanders were removed, and the scar tissue was excised. Subsequently, the expanded flap was used to cover the defects, and the expanded neck flap was rotated to cover the autogenous costal cartilage framework obtained intraoperatively. Finally, the reconstructed ear was repaired by constructing the cephaloauricular sulcus, removing postauricular scars, and trimming the neck-flap pedicle. After a 1-year follow-up, the wound had healed satisfactorily with only minor complications. The shape of the reconstructed ear appeared realistic, and its function was maintained. Most of the scars were repaired, and the scarred alopecia was significantly improved. In patients with limited availability of the postauricular flap, especially burn patients, using an expanded neck flap can lead to superior outcomes.

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