耳前区皮瓣修复耳垂部瘢痕疙瘩切除后缺损创面的临床观察  

Clinical observation on preauricular skin flap in the repair of defects after excision of earlobe keloid

作　　者：张盈 刘文明[1] 崔光怀[1] ZHANG Ying;LIU Wenming;CUI Guanghuai(Department of Burn and Plastic Surgery,Binzhou Medical University Hospital,Binzhou 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：《中国美容整形外科杂志》2022年第6期347-349,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨耳前区皮瓣转移修复耳垂部瘢痕疙瘩切除术后缺损创面的临床效果。方法自2017年1月至2020年12月,滨州医学院附属医院烧伤整形外科对收治的20例耳垂部瘢痕疙瘩的患者,经手术切除瘢痕疙瘩后耳垂均为全部缺损,设计耳前区皮瓣修复缺损区改善耳垂外形,术后行常规放射治疗,观察术后耳垂部瘢痕的复发情况、皮瓣成活情况及修复缺损创面的外形状况。结果18例患者获3~12个月随访,瘢痕疙瘩未见复发,皮瓣均成活,修复缺损创面后耳垂部外观自然,患者满意度较高。结论采用耳前区皮瓣转移修复耳垂部瘢痕疙瘩切除术后耳垂缺损创面,术后外观良好,是一种疗效可靠的全耳垂缺损修复方法。Objective To explore the clinical efficacy of preauricular skin flap in the repair of defects after excision of earlobe keloid.Methods Twenty patients with earlobe keloid from January 2017 to December 2020 were selected as research subjects.After surgical resection of keloid,all earlobes were completely damaged.Preauricular flap was designed to repair the defects and the shape of earlobe was improved.The recurrence of earlobe keloid,flap survival and shape of earlobe after repair were observed.Results Eighteen patients were followed up for 3 to 12 months.No recurrence of keloid was found.All flaps survived.After repair of defects,the appearance of earlobe was natural and patient satisfaction was high.Conclusion The application of preauricular skin flap in the repair of defects after excision of earlobe keloid is reliable.The appearance after operation is good.

关 键 词：耳垂缺损 皮瓣 瘢痕疙瘩 修复手术 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]