不同邻位皮瓣在修复轻中度外耳皮肤缺损的临床应用  

The clinical applications of different ortho-position skin flap in repairing skin defects of mild-tomoderate external ear

作　　者：张盈 徐卿芯 王海清 万蓁蓁 崔光怀[1] ZHANG Ying;XU Qing-xin;WANG Hai-qing;WAN Zhen-zhen;CUI Guang-huai(Department of burning and plastic surgery,Binzhou medical college affiliated hospital,Shandong Province,256600,China)

机构地区：[1]滨州医学院附属医院烧伤整形外科,山东滨州256600

出　　处：《中国医疗美容》2020年第11期48-51,共4页China Medical Cosmetology

摘　　要：目的研究邻位皮瓣在轻中度外耳皮肤缺损修复方面的临床应用。方法收集我科自2018年7月至2020年7月收治的外耳皮肤肿物患者及外伤性因素所致外耳皮肤缺损患者共28例,其皮肤缺损均采用邻位皮瓣转移的方法进行缺损创面的修复,其中改良菱形皮瓣15例,舌形皮瓣13例,观察术后皮瓣成活情况以及随访后期患耳外观恢复状况。结果本研究的所有患者中,转移皮瓣均高质量成活,切口Ⅰ期愈合且均获随访,随访时间1~12个月,平均6个月,26例患耳形态自然流畅,与健侧基本对称,无明显增生性瘢痕,2例患者术区沿切口轻度线性瘢痕增生。结论采用邻位皮瓣修复轻中度外耳皮肤缺损创面时,术后未改变各组织的解剖结构,具有皮瓣成活率高、并发症少、切口位于褶皱处、瘢痕较隐蔽、外观自然流畅等优点,适合在临床上被广泛应用和推广。Objective To study the clinical application of ortho position skin flap in the repair of mild to moderate external ear skin defects.Methods Collected our department from July 2018 to July 2020 were caused by the external ear skin neoplasm patients and traumatic factors of external ear,a total of 28 patients with skin defect,its skin defect all the ortho position skin flap transfer method for defect wound repair,modified rhomboid flap in 15 cases,13 cases of tongue-shaped flap,to observe the survival of the flaps after operation and the appearance recovery of the affected ear at the later follow-up period.Results Among all the patients in this study,transfer all quality transplanted tisssues survived,Ⅰhealing of incision and have been followed up,follow-up 1~12 months,an average of 6 months,26 cases with ear shape natural smooth,basic symmetry with the healthy side,no hyperplastic scar,2 cases of patients who area along the mild linear incision scar hyperplasia.Conclusion The orthostatic flap has the advantages of high survival ratefew complications the incision is located in the fold the scar is hidden,and the appearance is natural and smooth,which is suitable for the wide application and promotion in clinical practice.

关 键 词：耳廓皮肤缺损 改良菱形皮瓣 舌形皮瓣 修复手术 

分 类 号：R622[医药卫生—整形外科]