CAJ | 학술논문

目的探索外伤后耳轮部分缺损的修复方法.方法对21例外伤后耳轮部分缺损的患者应用耳后乳突皮瓣进行二期修复.Ⅰ期手术前评估耳郭前面及后面组织缺损面积,根据缺损大小设计、形成蒂在后的耳后乳突区皮瓣,将缺损耳郭后缘皮肤与耳后乳突区切口缝合,形成耳后一整体创面,将耳后皮瓣向前推进缝合于耳郭前层皮肤.Ⅰ期术后6周行Ⅱ期手术,耳后皮瓣断蒂,皮瓣折叠形成耳轮,继发创面直接缝合或另切取皮片植皮修复.结果 21例患者皮瓣全部成活,无血运障碍、感染及坏死等并发症发生.再造耳轮轮廓清晰,外形良好,再造耳与健侧基本对称.随访2个月～1年,效果良好.结论应用耳后乳突皮瓣二期修复耳轮部分缺损是一种安全有效的办法.
목적 탐색외상후이륜부분결손적수복방법.방법 대21예외상후이륜부분결손적환자응용이후유돌피판진행이기수복.Ⅰ기수술전평고이곽전면급후면조직결손면적,근거결손대소설계、형성체재후적이후유돌구피판,장결손이곽후연피부여이후유돌구절구봉합,형성이후일정체창면,장이후피판향전추진봉합우이곽전층피부.Ⅰ기술후6주행Ⅱ기수술,이후피판단체,피판절첩형성이륜,계발창면직접봉합혹령절취피편식피수복.결과 21례환자피판전부성활,무혈운장애、감염급배사등병발증발생.재조이륜륜곽청석,외형량호,재조이여건측기본대칭.수방2개월～1년,효과량호.결론 응용이후유돌피판이기수복이륜부분결손시일충안전유효적판법.
Objective To explore the method of repairing segmental ear helix defect.Methods Twenty-one patients with segmental ear helix defect were repaired with post-auricular skin flap.In the first stage operation,ear helix defect was assessed,including the anterior and posterior area defect.According to the defect,post-auricular skin flap was designed and transplanted to repair the defect.Six weeks later,the pedicle of the post-auricular skin flap was cut off,elevated,and folded to form the helix.The secondary defect was directly sutured or repaired with skin graft.Results Twenty-one patients were treated with this method.In two to 12 months follow-up,all flaps survived and reconstructed ear helices were in good shape.The reconstructed ears were in symmetry to the healthy ones.Conclusion The method is safe and effective for the correction of segmental ear helix defect.