Ultra-delicate split-thickness skin graft in continuity with full-thickness skin flap combined with Z-plasty for correction of cryptotia
10.3760/cma.j.issn.1009-4598.2018.06.013
- VernacularTitle: 耳后旋转皮瓣延续薄层刃厚头皮片联合Z成形术矫治隐耳畸形
- Author:
Xiaobo YU
1
;
Qinghua YANG
;
Leren HE
;
Haiyue JIANG
;
Bo PAN
;
Yanyong ZHAO
;
Lin LIN
Author Information
1. 7th Department of Plastic Surgery, Peking Union Medical College, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100144, China
- Publication Type:Journal Article
- Keywords:
Z-plasty;
Cryptotia;
Posterior auricular skin flap;
Razor-thin graft
- From:
Chinese Journal of Plastic Surgery
2018;34(6):468-470
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the curative effect of ultra-delicate split-thickness skin graft in continuity with full-thickness skin flap combined with Z-plasty for correction of cryptotia.
Methods:Four cases (six ears) were corrected by ultra-delicate split-thickness skin graft in continuity with full-thickness skin flap combined with Z-plasty method from 2016 to 2017. Following ear release, the flap is rotated into the defect and donor site covered by a razor-thin graft raised in continuity with the flap, the posterior flap was advanced and sutured with Z-plasty.
Results:All corrected auricles four cases (six ears) were followed up from 3 months to 1 year and abtained satisfactory and stable appearance.
Conclusions:The shape of auricle is natural and satisfactory after operation. The method is simple and no skin grafting is needed. The adhesion of the hidden muscles and cartilages were sufficiently released.
