Precise regional reconstruction of segmental ear defect with postauricular skin flap
10.3760/cma.j.issn.1009-4598.2018.08.010
- VernacularTitle: 耳后皮瓣在外耳部分缺损的亚单位分区精准修复
- Author:
Lin ZHANG
1
;
Yu ZHAO
;
Xiaojing LI
;
Hao DING
;
Banghe WANG
;
Fei ZHU
;
Jinlong NIN
;
Chunlan WANG
Author Information
1. Department of Plastic Surgery, First Affiliated Hospital of Anhui Medical Hospital, Hefei 230022, China
- Publication Type:Clinical Trail
- Keywords:
Auricular defect;
Surgical flap;
Reconstructive surgical procedures
- From:
Chinese Journal of Plastic Surgery
2018;34(8):625-629
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the method and result of repairing segmental ear defect with postauricular skin flap according to different region.
Methods:25 partial ear defects were divided into 5 regions.The cases with defect in 1 and 2nd regions were treated by postauricular flap combined with ipsilateral conchal cartilage graft in one stage; Cases in the 3rd regions were repaired with the posterior pedicled flap combined with conchal or rib cartilage graft in two stages; According to the defect in 4th region, post-auricular skin flap was transplanted anteriorly to repair; The temporal fascial flap and skin graft were used for the 3 cases with post-operative cartilage exposure.
Results:All flaps survived with good shape except one case with partial epidermal necrosis and 3 cases deep color after the temporal fascial flap and skin graft. 9 cases that needed second operation.
Conclusions:The postauricular flap is a preferred alternative method in case periauricular skin is in fact, which yields closer tissue match, color, and texture. It is safe and effective for the correction of segmental ear defect with satisfied shape. The temporal fascial flap can be regarded as the last alternatives.
