Correction of preauricular depression using the composite flap of microtic cartilage and soft tissue in tragus reconstruction
10.3760/cma.j.issn.1009-4598.2018.05.008
- VernacularTitle: 耳屏再造术中应用自体残耳软骨组织复合瓣矫正耳前凹陷
- Author:
Yupeng SONG
1
;
Haiyue JIANG
;
Leren HE
;
Bo PAN
;
Lin LIN
;
Qinghua YANG
Author Information
1. Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, China
- Publication Type:Clinical Trail
- Keywords:
Tragus reconstruction;
Microtia;
Preauricular depression;
Composite flap of residual ear cartilage and soft tissue
- From:
Chinese Journal of Plastic Surgery
2018;34(5):360-363
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the clinical effect of using the composite flap of microtic cartilage and soft tissue in tragus reconstruction to correct preauricular depression.
Methods:From January 2015 to November 2016, we corrected preauricular depression of 523 patients with congenital microtia that were treated with tragus reconstruction by using the composite flap of residual ear cartilage and soft tissue.
Results:All the composite flap of residual ear cartilage and soft tissue were transplanted successfully. No blood circulation disorder and significant contracture occurred. All patients were followed up for 6-14 months with an average of 10 months. The reconstructed tragus looked projective and the preauricular depression was corrected, demonstrating a similar looking to the healthy side. The patients were satisfied with the results.
Conclusions:The residual ear tissue could form the composite flap of residual ear cartilage and tissue. Using the composite flap to fill the preauricular depression was effective, which was not easily absorbed. The residual ear tissue is the best resource for filling the preauricular depression. It should not be discarded in ear reconstructive surgery, but reserved for the next operation for tragus reconstruction.
