耳后头皮推进瓣急诊即刻修复创伤性耳郭部分缺损的临床效果观察  

Observation on the Clinical Effect of Immediate Repair of Part Auricle Defect with Crimp Scalp Flap on Post Arum and Mastoid Region

作　　者：徐洲[1] 唐梦瑶[1] 吴晴伟[1] 王珮华[1] 石润杰[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院耳鼻咽喉科,上海200011

出　　处：《现代生物医学进展》2015年第7期1268-1270,1352,共4页Progress in Modern Biomedicine

摘　　要：目的：探讨耳后头皮瓣急诊即刻修复耳郭部分缺损的可行性与临床效果。方法：对2013年1-12月来我院急诊的7例外伤后耳郭部分缺损的患者（均为男性，年龄22-50岁；其中右耳4例，左耳3例）采用耳后头皮推进瓣即刻修复，以耳郭缺损耳后皮肤及头皮皮肤做推进瓣，将断离的耳郭去皮保留软骨与耳郭断端软骨缝合形成软骨支架，推进皮瓣部分卷曲缝合形成耳轮结构修复耳郭缺损。结果：7例耳郭部分缺损均在急诊环境下即刻修复，耳郭大小和形态满意，颅耳角略变小，随访3～6月耳郭形态稳定。结论：耳后头皮推进瓣卷曲缝合可在急诊条件下即刻修复耳郭部分缺损，具有治疗周期短，一次达到较满意外形的优点，对于无奈件行二期手术的患者具有较大意义，其远期效果尚有待进一步随访。Objective： To investigate the feasibility and clinical effect crimp scalp flap on post aurem and mastoid region on imme- diate repair of part auricle defect. Methods： 7 patients （all males, age 22-50, 4 cases right ear, 3cases left ear）with part auricle defect were immediately repaired, using the crimp scalp flap on post aurem and mastoid region from January to December in 2013. Firstly, an ad- vancement skin flap on post aurem and mastoid region was made. Secondly, the skin of the severed ear was removed and its cartilage was retained, then the broken ends of auricle cartilage were sutured to form cartilage bracket. Finally, the auricle defect with crimp scalp flap on post aurem and mastoid region were restored to form the helix structure. Results： Seven cases were applied with this method to repair immediately the defect in the emergency environment. The sizes of auricle contour were good, yet the cranio auricular angles were slight- ly smaller. The ear shape was stable in 3-6 months＇ follow-up. Conclusion： Crimp scalp skin flap on post aurem and mastoid region could immediately repair the part auricle defect, which had the advantage of short treatment cycle, satisfactory clinical effect at the first treat- ment and was of great importance for the patients without the condition of two-stage operation, its long-term effect was still needed to be followed-up.

关 键 词：耳郭缺损 头皮瓣 急诊 

分 类 号：R764.81[医药卫生—耳鼻咽喉科]