CAJ | 학술논문

目的探讨应用新月形皮瓣转移联合皮片移植法矫正隐耳畸形的手术疗效.方法在埋入皮下的耳轮平面与颅侧壁之间,设计一个蒂在耳廓上方的新月形皮瓣,在其下方设计一个辅助三角皮瓣,进行局部皮瓣交叉转移,并移植皮片修复.结果 2008年1月至201 3年3月,于临床应用16例19只耳,其中双侧隐耳3例,术后埋没的耳廓恢复至正常位置,形成颅耳沟,转移的皮瓣及植皮区未出现血运障碍.随访3个月至2年,术后效果稳定性好,无复发.结论新月形皮瓣联合皮片移植法,设计巧妙、切口隐蔽、适应证广,适用于轻、中、重度的隐耳畸形患者,是对传统隐耳畸形矫正方法的重要补充.
목적 탐토응용신월형피판전이연합피편이식법교정은이기형적수술료효.방법 재매입피하적이륜평면여로측벽지간,설계일개체재이곽상방적신월형피판,재기하방설계일개보조삼각피판,진행국부피판교차전이,병이식피편수복.결과 2008년1월지201 3년3월,우림상응용16례19지이,기중쌍측은이3례,술후매몰적이곽회복지정상위치,형성로이구,전이적피판급식피구미출현혈운장애.수방3개월지2년,술후효과은정성호,무복발.결론 신월형피판연합피편이식법,설계교묘、절구은폐、괄응증엄,괄용우경、중、중도적은이기형환자,시대전통은이기형교정방법적중요보충.
Objective To investigate the therapeutic effect of crescent flap with skin-grafting for the correction of cryptotia.Methods Between the helix and scalp,we designed a crescent flap with the pedicle above the helix.Another affiliated triangular flap was formed below the crescent flap.Skin-grafting was performed after the transposition of two flaps.Results From Jan.2008 to Mar.2013,16 cases with cryptotia(19 ears) were treated by this method.The ears were re-positioned to normal location with auriculocephalic sulcus.No vascular crisis was happened.The patients were followed-up for 3 months to 2 years with satisfactory result and no recurrence.Conclusions This method of crescent flap with skingrafting is suitable for cryptotia at any grade.It is designed brilliantly with no inconspicuous scar.