去表皮矩形皮瓣埋置法联合Z字成形术修复纵形耳垂裂  

Tow deepithelialised rectanguler flaps and Z-plasty techniqe for correction of longitudinal ear lobe cleft

作　　者：刁志勇[1] 王晓丽[1] 孙延昌[1] 

机构地区：[1]哈尔滨医科大学附属第一医院整形美容外科,黑龙江哈尔滨150001

出　　处：《中国美容医学》2008年第2期192-194,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨去表皮矩形皮瓣埋置法联合Z字成形术在修复纵形耳垂裂方面的应用。方法:在耳垂裂隙两侧局部形成去表皮矩形皮瓣,把两去表皮矩形皮瓣分别埋置进耳垂裂的外侧部的前面及内侧部的后面皮下囊袋。耳垂裂边缘Z字成形。结果:本组8例患者,患侧耳垂均形态圆滑、自然,无明显的瘢痕和切迹;并且与健侧耳垂大小、形状基本相同。结论:利用去表皮矩形皮瓣埋置法联合Z字成形术修复纵形耳垂裂,手术操作简单,保留了耳垂的最大组织量,效果好,是一种值得推广使用的方法。Objective To explore the application of tow deepithelialised rectanguler flap and Z-plasty techniqe in the repair of longitudinal ear lobe cleft. Methods In the medial lobe,an anteriorly based deepithelialised rectanguler flap was made, In the lateral lobe,an posteriorly based deepithelialised rectanguler flap was created.On the posterior surface of the medial lobe and on the anterior surface of the lateral lobe,subcutaneous pockets to accommodate the deepithelialised rectanguler flaps were formed.Finally,a small Z-plasty was placed at the repaired ear lobe margin to prevent notching deformity, Results The curvature of the free ear lobe margin was smooth and nature. The actual size of the repaired ear lobe was not significant smaller than that of the unaffact one, An aestheticlly excellent result without noticeable scar and notching deformity was seen after operation, Conclusion Using tow deepithelialised rectanguler flaps and Z-plasty techniqe to repair longitudinal ear lobe cleft is a simple,satisfied and applicable method.

关 键 词：去表皮 矩形皮瓣 Z字成形 耳垂裂 

分 类 号：R622[医药卫生—整形外科]