新月形皮瓣联合皮片移植法矫治隐耳畸形  

Correction of cryptotia using crescent flap with skin-grafting

作　　者：吴荣薇[1] 蒋海越[1] 林琳[1] 潘博[1] 杨庆华[1] 

机构地区：[1]北京协和医学院中国医学科学院整形外科医院外耳再造一中心,100144

出　　处：《中华整形外科杂志》2013年第5期329-331,共3页Chinese Journal of Plastic Surgery

基　　金：首都卫生发展科研专项项目（2011-4004-01）;国家科技支撑计划专项（耳科疾病组织修复与功能重建,2012BAII2B00）;国家自然科学基金（81071113）

摘　　要：目的 探讨应用新月形皮瓣转移联合皮片移植法矫正隐耳畸形的手术疗效.方法 在埋入皮下的耳轮平面与颅侧壁之间,设计一个蒂在耳廓上方的新月形皮瓣,在其下方设计一个辅助三角皮瓣,进行局部皮瓣交叉转移,并移植皮片修复.结果 2008年1月至201 3年3月,于临床应用16例19只耳,其中双侧隐耳3例,术后埋没的耳廓恢复至正常位置,形成颅耳沟,转移的皮瓣及植皮区未出现血运障碍.随访3个月至2年,术后效果稳定性好,无复发.结论 新月形皮瓣联合皮片移植法,设计巧妙、切口隐蔽、适应证广,适用于轻、中、重度的隐耳畸形患者,是对传统隐耳畸形矫正方法的重要补充.Objective To investigate the therapeutic effect of crescent flap with skin-grafting for the correction of cryptotia.Methods Between the helix and scalp,we designed a crescent flap with the pedicle above the helix.Another affiliated triangular flap was formed below the crescent flap.Skin-grafting was performed after the transposition of two flaps.Results From Jan.2008 to Mar.2013,16 cases with cryptotia（19 ears） were treated by this method.The ears were re-positioned to normal location with auriculocephalic sulcus.No vascular crisis was happened.The patients were followed-up for 3 months to 2 years with satisfactory result and no recurrence.Conclusions This method of crescent flap with skingrafting is suitable for cryptotia at any grade.It is designed brilliantly with no inconspicuous scar.

关 键 词：隐耳 外科皮瓣 皮片移植术 

分 类 号：R764[医药卫生—耳鼻咽喉科] R622[医药卫生—临床医学]