CAJ | 학술논문

目的：探讨耳部轴型皮瓣在耳廓、耳周皮肤及组织缺损修复中的临床运用价值。方法回顾性分析我院采用含颞浅动脉、耳后动脉的耳前后轴型皮瓣修复因肿瘤、外伤、感染等原因造成的耳廓皮肤、软骨及耳前皮肤组织缺损的16例患者的临床资料，所有病例均采用耳前、耳后轴型皮瓣转移至缺损处修复缺损，行二期断蒂及皮瓣整复术。结果16例患者转移皮瓣全部存活，断蒂后皮瓣移植区皮片色泽正常、能最大程度维持耳廓的外观形态。结论轴型皮瓣血供好，皮瓣存活率高，尤其适用于修复血循环差的部位如耳廓的缺损，且轴型皮瓣丰富的血供对于防止感染造成菜花耳畸形，有一定的临床应用价值。
목적：탐토이부축형피판재이곽、이주피부급조직결손수복중적림상운용개치。방법회고성분석아원채용함섭천동맥、이후동맥적이전후축형피판수복인종류、외상、감염등원인조성적이곽피부、연골급이전피부조직결손적16례환자적림상자료，소유병례균채용이전、이후축형피판전이지결손처수복결손，행이기단체급피판정복술。결과16례환자전이피판전부존활，단체후피판이식구피편색택정상、능최대정도유지이곽적외관형태。결론축형피판혈공호，피판존활솔고，우기괄용우수복혈순배차적부위여이곽적결손，차축형피판봉부적혈공대우방지감염조성채화이기형，유일정적림상응용개치。
Objective To report use of tubed pedicle flap in repairing skin and/or tissue defects of and around the ear. Methods Clinical data were collected from 16 patients whose skin and/or tissue defects of and around the ear from tumor, trauma or infection were repaired by the authors with pre-/post-auricular tubed pedicle flap that contained the superficial temporal or post-auricular artery. The flap was separated from the donor area and reconstruction completed in a second stage procedure. Results The flap survived well after separation form the donor area with normal skin color and helped maintain desired auricular contour in all patients. Conclusion The tubed pedicle flap reported in this study has the advan-tage of carrying blood circulation which improves flap survival and makes the flap especially suitable for repair of auricu-lar defects that lack adequate blood supply. The abundant circulation inherent to the flap may also help prevent local infec-tion, which is of appreciable value clinically.