游离桡动脉皮瓣处理全耳撕脱伤1例  

A case of total avulsed ear management with radial artery free flap

作　　者：张功林 师富贵 胡军 

机构地区：[1]兰州手足外科医院整形外科,甘肃兰州730050

出　　处：《中国医学文摘（耳鼻咽喉科学）》2018年第6期519-520,I0001,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的介绍一种用游离桡动脉皮瓣处理全耳撕脱伤的方法。方法应用这种方法处理全耳撕脱伤1例。将撕脱耳的软骨包埋至桡动脉皮瓣,切口愈合后6个月,再切取桡动脉皮瓣行耳再造,桡动脉与面动脉相吻合,伴行静脉与面静脉相吻合,头静脉与下颌后静脉相吻合。从股前侧取中厚游离皮修复前臂伤口缺损。结果术后再造耳全部成活,桡动脉皮瓣没有发生血管危象。4个月后,在局部麻醉下,再将皮瓣多余组织修去,取得了较满意的效果。结论该项技术能安全的应用于全耳撕脱的处理。Objective To introduce a total avulsed ear management method with radial artery free flap.Methods This method was used to management one patients with total avulsed ear.The avulsed ear cartilage was embedded into the radial artery flap.After a incision healing period of 6months,a radial artery free flap was harvested and the ear was reconstructed.The radial artery was anastomosed to the facia artery,the vena comitantes was anastomosed to the facia vein and the cephalic vein was anastomosed to the retromandibular vein.A split thickness skin graft from the anterior thigh was placed over the forearm wound.Results The reconstructed the ear had survived completely.No clinical vascular deficiency was found on the radial artery flap postoperatively.After 4months the redundant skin of the flap was reduced under local anesthesia,which provided satisfactory results.Conclusion This technique can be used safely in total avulsed ear management.

关 键 词：耳损伤 再造 桡动脉 游离皮瓣 

分 类 号：R737.9[医药卫生—肿瘤]