应用双向推进皮瓣法进行儿童耳前瘘管切除术中皮损修复的实践  

Repair of skin defect in children with preauricular fistulectomy by bi-directional advancement flap

作　　者：杨素娜[1] 尹德佩[1] YANG Suna;YIN Depei(Department of Otolaryngology,Children's Hospital of Soochow University,Suzhou,Jiangsu,215003,China)

机构地区：[1]苏州大学附属儿童医院耳鼻咽喉科,江苏苏州215003

出　　处：《中国耳鼻咽喉头颈外科》2023年第3期157-160,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨双向推进皮瓣在累及耳廓的感染性耳前瘘管切除术中的应用。方法回顾性分析苏州大学附属儿童医院12例病变波及耳廓皮肤的先天性耳前瘘管患者,研究累及耳廓皮肤的位置、面积,运用双向推进皮瓣修补术后缺损,并对术后患者的临床愈合情况进行分析。结果12例患者中,感染灶位于耳轮者8例,位于耳甲腔者3例,位于耳甲艇者1例,类圆形感染灶平均直径9.9 mm(8~13 mm),术后创面均一期愈合,术后随访6~12个月无复发,瘢痕不明显。结论在修补病变波及耳廓皮肤的耳前瘘管的术后缺损时,双向推进皮瓣具有简单易操作、切口隐蔽、皮瓣成活率高的优点,可以达到无张力缝合,术后伤口Ⅰ期愈合,避免分期修复,值得临床采用。OBJECTIVE To investigate the application of bi-directional advancement flap in resection of infective preauricular fistula involving auricle.METHODS Twelve patients with congenital preauricular fistula involving auricular skin were retrospectively analyzed,and the position and area of auricular skin were studied,the defect was repaired by bi-directional advancement flap,and the clinical healing of the patients after operation was analyzed.RESULTS Among the 12 cases,8 cases were located in the ear wheel,3 cases were located in the Concha cavity,and 1 case was located in the Concha boat.The average diameter of the round infection focus was 9.9 mm(8-13 mm).The wound healed in one stage after operation.There was no recurrence and no obvious scar in 6-12 months follow-up.CONCLUSION When repairing the defect of the preauricular fistula involving the skin of the Auricle,the bi-directional advancement flap has the advantages of simple operation,hidden incision and high survival rate.It can be sutured without tension,and the wound can be healed in the first stage after operation,and avoid stage repair.It is worthy of clinical application.

关 键 词：儿童 外科皮瓣 先天性耳前瘘管 双向推进皮瓣 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]