带蒂颞浅筋膜瓣转移覆盖加局部植皮联合软骨移植修复耳郭再造术后软骨支架外露  

Pedicled superficial temporal fascia flap and local skin graft combined with cartilage transplantation effectively repair cartilage scaffold exposure in auricular reconstruction

作　　者：刘玉红 薄琳 刘新刚 苏法仁 马启发 LIU Yuhong;BO Lin;LIU Xingang;SU Faren;MA Qifa(Department of Otorhinolaryngology&Head and Neck Surgery,Chinese Armed People's Police Force Shandong Provincial Corps Hospital,Jinan 250014,Shandong,China)

机构地区：[1]武警山东省总队医院耳鼻咽喉头颈外科,山东济南250014

出　　处：《山东大学耳鼻喉眼学报》2024年第1期9-12,26,共5页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：军队保健和计生专项科研课题(22JSZ08)。

摘　　要：目的探讨应用带蒂颞浅筋膜瓣转移覆盖加局部植皮联合软骨移植修复耳郭再造术后软骨支架外露的治疗效果。方法选择6例耳郭再造术后软骨支架外露患者,彻底清除创面肉芽组织及坏死软骨,若软骨缺损先用残耳软骨或肋软骨修复,然后将颞浅筋膜瓣翻转包裹覆盖外露软骨,中厚游离皮片植皮。结果术后创面一期愈合,移植皮片成活。术后随访3个月~3年,再造耳郭形态逼真,轮廓清晰,未再次出现软骨外露及其他问题,患者对手术效果满意。结论应用带蒂颞浅筋膜瓣转移覆盖加局部植皮联合软骨移植修复耳郭再造术后软骨支架外露获得了良好效果,值得临床推广应用。Objective The study aimed to investigate the therapeutic efficacy of transplantation and concealment by pedicled superficial temporal fascia flap and local skin grafting in conjunction with cartilage transplantation for the repair of exposed cartilage scaffolds following auricular reconstruction.Methods Six patients with cartilage scaffold exposure post-auricular reconstruction surgery underwent treatment.Granulation tissue and necrotic cartilage were thoroughly removed from the wound.In cases of cartilage defects,the repair involved utilizing either residual ear cartilage or autogenous costal cartilage.Subsequently,we flipped over the superficial temporal fascia flap to concealment by the exposed cartilage and employed a medium-thickness free skin graft for skin grafting.Results All surgical wounds healed through primary intention and grafts exhibited complete survival.Postoperative follow-ups ranging from 3 months to 3 years revealed a reconstructed ear with a realistic shape,distinct contour,and no recurrence of cartilage exposure or other issues.The patients expressed satisfaction with the surgical outcome.Conclusion The application of transplantation and concealment by pedicled superficial temporal fascia flap and local skin grafting for repairing cartilage scaffold exposure after auricular reconstruction yielded good results worthy of clinical recognition and application.

关 键 词：小耳畸形 颞浅筋膜瓣 软骨支架外露 耳郭再造 软骨移植 

分 类 号：R764.71[医药卫生—耳鼻咽喉科]