Application of slender narrow subcutaneous fascia pedicle random flap in repair of the cavity of concha wound
10.3760/cma.j.issn.1671-0290.2012.02.007
- VernacularTitle:超长宽比皮下筋膜蒂随意型皮瓣在小耳畸形矫正中耳甲腔创面修复的应用
- Author:
Tianlan ZHAO
;
Daojiang YU
;
Xiaoming XIE
;
Yuntao ZHANG
;
Qi CHEN
;
Wenya HAN
- Publication Type:Journal Article
- Keywords:
Fascio-cutaneous flap;
Random pattern skin flap;
Microtia;
Cavity of concha;
Repair
- From:Chinese Journal of Medical Aesthetics and Cosmetology
2012;18(2):105-107
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo introduce the application of slender narrow subcutaneous fascia pedicle flap in repairing the cavity of conchs wound in microtia plasty,and to investigate its survival mechanism.MethodsThe all 6 congenital microtia cases were repaired with the concha compound flap up rotation.The all microtia concha wounds were repaired with the slender narrow pedicle.The lateral maxillocevicai fasciotaneous flap with its slender subcutaneous fascia pedlcle located in front of auricle.The size of the flaps ranged from 3.0 cm × 3.0 cm to 4.0 cm × 4.5 cm,The width and length of the pedicle ranged 1.0-1.5 cm and 3.5-4.5 cm.Results6 cases of the slender narrow subcutaneous fascia pedlcle flaps all survived,with primary wound healing and ideal appearance.ConclusionsThis slender narrow subcutaneous fascia pedlcle flap does not contain any major blood vessel,which is dissected easily in the operation.Due to its slender narrow pedicle,the flap rotation is also easy and its coverage area is large,without cat ears.The postoperative appearance (color,lexture,cosmetic aspect)is satisfactory.The slender narrow flap is an extraordinary new design and is ideal for the cavity of concha wound repair in the microtia plasty.
