Repair of congenital earlobe defect using retroauricular three flaps
10.3760/cma.j.cn114453-20220816-00256
- VernacularTitle:应用耳后三瓣法修复先天性耳垂缺损
- Author:
Changyong CHEN
1
;
Ling ZHANG
;
Qinghua YANG
Author Information
1. 首都医科大学附属北京安贞医院整形美容和激光医学科，北京 100029
- Keywords:
Otologic surgical procedures;
Congenital earlobe defect;
Skin flap transplantion
- From:
Chinese Journal of Plastic Surgery
2023;39(1):65-70
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the method and effect of retroauricular three flaps for repair of congenital earlobe defect.Methods:From March 2019 to December 2021, the data of patients with congenital earlobe defect treated with retroauricular three-flap method in Beijing Anzhen Hospital, Capital Medical University and Plastic Surgery Hospital, Chinese Academy of Medical Sciences were retrospectively analyzed. The specific method was to design three flaps in the posterior auricular region, A, B, C respectively. The area of flap A was larger 10%-20% than the defect area, and the flap A was rotated in the direction of the anterior and inferior earlobe. The flap B was designed as a rotation flap to repair the secondary defect after flap transplantation. The flap C was designed as a sliding flap to reduce the tension of the wound in the retroauricular region. Postoperative observation included flap blood flow, complications of infection, hematoma, and so on, and scar after wound healing. A questionnaire was used to investigate the satisfaction of patients or guardians, with scores from 1 to 4 indicating dissatisfaction, general satisfaction, satisfaction, and very satisfaction respectively.Results:A total of 10 patients were included, including 3 males and 7 females. Aged from 7-18 years old, with an average of 11 years old. All cases were unilateral lobe defects. Postoperative infection occurred in 1 case and small local hematoma in 1 case. All cases were cured after dressing change without flap necrosis and other complications. After 3 to 6 months of follow-up, there was no flap necrosis, the color, shape and plumpness of the repaired earlobe were good, and the scar behind the ear was concealed. The satisfaction survey showed that 8 cases had great satisfaction and 2 cases had satisfaction.Conclusion:Partial or total defects of earlobe can be repaired by retroauricular three flaps. The reconstructed earlobe has natural shape, hidden scar and satisfactory clinical effect.
