局部皮瓣转移即刻修复急性外伤性耳廓缺损63例  

The immediate local skin flaps transference for the treatment of acute auricle trauma defect

作　　者：冯晓玲[1] 易传勋[1] 张一鸣[1] 王玉荣[1] 彭冲[1] 杨名 郭能强[1] 周文东[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院整形外科,武汉430022 [2]江苏省宁波协和美容整形

出　　处：《临床耳鼻咽喉科杂志》2004年第6期359-360,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨局部皮瓣转移即刻修复急性外伤性耳廓缺损的疗效。方法 :对 6 3例急性外伤性耳廓缺损患者即刻行局部皮瓣转移修复缺损。结果 :术后所有皮瓣无坏死 ,随访 12～ 18个月 ,耳廓外形良好 ,无耳软骨膜炎发生。结论 :局部皮瓣转移即刻修复急性外伤性耳廓缺损 ,尽快地恢复了耳廓的外形 ,其皮肤色泽与缺损区皮肤相近 ,是理想的修复耳廓缺损的材料。伤口污染严重者 ,术后常规静脉滴注抗生素及地塞米松 5～ 10mg 7～10d ,有助于防止耳软骨膜炎的发生。Objective:To investigate the advantage and postoperation notice of immediate local skin flaps transference for the treatment of acute auricle trauma defect. Method:A retrospective study was carried out to judge the immediate local skin flaps transference for sixty three patients who underwent ear injury. Result:All the flaps survived postoperation. After a follow up observation for 12～18 months, the shapes of all patients' ears were satisfying,and there were no osteochondritis.Conclusion: Immediate local skin flaps transference for the treatment of acute auricle trauma defect could recover the shape of ears in short time. The colour of flaps were similar as the ears,so the local skin flaps were ideal material for the ear reconstruction. If the wound were contaminated,antibiotics must be used, in addition to the Dexamethasone intravenous for seven to ten days which may inhibit the osteochondrites to some extent.

关 键 词：耳廓缺损 外科皮瓣 修复外科手术 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]