您的位置：山东大学 -> 科技期刊社 -> 《山东大学学报（医学版）》

山东大学学报（医学版） ›› 2016, Vol. 54 ›› Issue (3): 87-90.doi: 10.6040/j.issn.1671-7554.0.2015.767

• • 上一篇    下一篇

耳下区菱形皮瓣折叠修复耳垂缺损的疗效评价

梁惠宇,杨彪炳,谭慎兴,牛常英,李亚玲,胡飞,唐胜建   

  1. 潍坊医学院整形外科研究所, 山东 潍坊 261000
  • 收稿日期:2015-08-14 出版日期:2016-03-10 发布日期:2016-03-10
  • 通讯作者: 唐胜建. E-mail:tsj3676@163.com E-mail:tsj3676@163.com
  • 基金资助:
    国家自然科学基金(81471880,81272122,81301647);山东省自然科学基金(ZR2013HQ025);山东省科技发展计划(jk67)

Efficacy of rhombic subauricular flap to restore ear lobe

LIANG Huiyu, YANG Biaobing, TAN Shenxing, NIU Changying, LI Yaling, HU Fei, TANG Shengjian   

  1. Institute of Reconstructive Plastic Surgery, Weifang Medical University, Weifang 261000, Shandong, China
  • Received:2015-08-14 Online:2016-03-10 Published:2016-03-10

PDF (PC)

307

摘要： 目的 探讨采用耳下区菱形皮瓣再造耳垂的临床应用及疗效评价。 方法 选取2013年9月至2015年7月耳垂缺损患者7例,根据耳垂缺损大小以设计耳下区全厚菱形皮瓣,以菱形皮瓣的短对角线为轴线,将皮瓣靠近缺损的一角与耳缺损下缘的顶点处缝合,沿轴线将皮瓣翻折,折叠法再造耳垂,术后随访再造耳垂形态及患者满意度。 结果 所有患者再造耳垂全部成活,切口均Ⅰ期愈合且均获随访,随访时间1~12个月,平均7个月。外耳轮廓自然流畅,耳垂形状、位置良好,与对侧外耳基本对称,术后再造耳垂未出现扭曲、变形,获得满意效果。 结论 采用耳下区菱形皮瓣修复耳垂缺损,操作简单,疗效可靠,可达到修饰性修复与重建的目的,符合现代整形外科的美学理念。

关键词: 耳垂缺损, 瘢痕, 血运, 耳下区皮瓣, 再造耳垂, 折叠皮瓣

Abstract: Objective To investigate the efficacy of rhombic subauricular flap in the repair of earlobe defects. Methods A total of 7 cases of earlobe defects were collected during Sept. 2013 and July 2015. According to the size of the defect, full-thickness rhombic flap was designed. The flap was folded with the short diagonal as axis, and then the corner of the flap near the defect was sutured with the apex of the lower defect edge. All patients were followed up, the shape of reengineered lobe was observed, and patients’ satisfaction was recorded. Results All flaps survived, and incisions healed in the first stage. During the follow-up of 1 to 12 months(mean 7 months), the contour of the ear was smooth and natural, the shape and position of earlobe was fine, and no distortion or deformation occurred. All operations produced satisfactory results. Conclusion Repairing earlobe defects with rhombic subauricular flap is simple and effective, which can achieve the purpose of decorative repair and reconstruction, and accord with the aesthetic concept of modern plastic surgery.

Key words: Skin flap below the ear, Lobe defect, Scar, Blood supply, Earlobe reconstruction, Folding flap

中图分类号: 

  • R574
[1] 邓建平, 黄雁翔, 裴春燕, 等. 应用耳后皮瓣修复耳垂缺损[J]. 中国美容医学, 2011, 20(3): 382-383. DENG Jianping, HUANG Yanxiang, PEI Chunysn, et al. Repairing the earlobe with fold flap and “kite” flap ON the mastoid region[J]. Chinese Journal of Aesthetic Medicine, 2011, 20(3): 382-383.
[2] 侯团结, 李平松, 施泽宏, 等. 改进的耳后乳突区皮瓣修复耳垂缺损[J]. 中国美容医学, 2009, 18(8): 1060-1061. HOU Tuanjie, LI Pingsong, SHI Zehong, et al. Improved skin flap on post aurem and mastoid region to restore the defect of ear lobe[J]. Chinese Journal of Aesthetic Medicine, 2003, 18(8): 1060-1061.
[3] 马腾霄. 改进的二期法耳廓再造术[D]. 济南:山东大学, 2011.
[4] Kim DY, Kim ES, Eo SR, et al. A surgical approach for earlobe keloid: keloid fillet flap[J]. Plast Reconstr Surg, 2004, 113(6): 1668-1674.
[5] 王淑杰, 高玉梅, 任敏, 等. 耳垂缺损的不同方法修复效果观察[J]. 解放军医学杂志, 2008, 33(3): 308-310. WANG Shujie, GAO Yumei, REN Min, et al. Observation on the result of earlobe reconstruction by different methods[J]. Medical Journal of Chinese Peoples Liberation Army, 2008, 33(3): 308-310.
[6] 张绪生, 蔡黔. 耳廓缺损畸形的修复再造[J]. 中国美容医学, 2002, 11(3): 253. ZHANG Xusheng, CAI Qian. Reparation and reconstruction of ear deformity[J]. Chinese Journal of Aesthetic Medicine, 2002, 11(3): 253.
[7] Yotsuyanagi T, yamashita K, Sawada Y. Reconstruction of congenital and acquired earlobe deformity[J]. Clin Plast Surg, 2002, 29(2): 249-255.
[8] 宁金龙, 朱飞, 笪向东, 等. 应用Limberg瓣再造耳垂[J]. 整形再造外科杂志, 2005, 2(4): 206-209. NING Jinlong, ZHU Fei, DA Xiangdong, et al. Earlobe Reconstruction Using Limberg Flap[J]. Journal of Plastic and Reconstructive Surgery, 2005, 2(4): 206-209.
[9] Singh A, Singh G. Earlobe reconstruction using a Limberg flap in six ears[J]. Br J Plast Surg, 2003, 56(1): 33-36.
[10] 王炜. 整形外科学[M]. 杭州: 浙江科学技术出版社, 1999: 1086-1087.
[11] Yotsuyanagi T, Nihei Y, Sawada Y. Reconstruction of defects involving the upper one-third of the auricle[J]. Plast Reconstr Surg, 1998,102(4): 988-992.
[12] 毕本军. 耳廓动脉显微解剖及其临床应用[D]. 济南:山东大学, 2009.
[13] 杨娴娴, 张如鸿. 先天性耳垂畸形及其修复[J]. 中国美容医学, 2006, 15(4): 474. YANG Xianxian, ZHANG Ruhong. Congenital earlobe deformities and their reconstructions[J]. Chinese Journal of Aesthetic Medicine, 2006, 15(4): 474.
[14] 李俊, 黄金龙. 两瓣法耳垂再造治疗先天性耳垂缺损[J]. 中国美容整形外科杂志, 2007, 18(4): 246-247.
[15] Mowlavi A, Meldrum DG, Wilhelmi BJ. Earlobe morphology delineated by two components the attached cepholic segment and flee caudal segment[J]. Plast Reconstr Surg, 2004, 113(3): 1075-1076.
[16] 庄洪兴, 蒋海越, 潘博, 等. 先天性小耳畸形的皮肤软组织扩张器法外耳再造术[J]. 中华整形外科杂志, 2006, 22(4): 286. ZHUANG Hongxing, JIANG Haiyue, PAN Bo, et al. Ear reconstruction using soft tissue expander in the treatment of congenital microtia[J]. Chinese Journal of Plastic Surgery, 2006, 22(4): 286.
[17] 李冬严, 曹贵军, 孙丽莉. 改进皮肤扩张器使用方法行不植皮外耳再造术30例[J]. 武警医学, 2015, 26(8): 838-839.
[1] 陶国伟,王晓玲,石琳琳,丁婷婷. 产前超声在不同孕期胎盘植入中的诊断价值[J]. 山东大学学报（医学版）, 2016, 54(9): 10-13.
[2] 王成, 荣艳华, 沈余明,张国安. 正常皮肤与增生性瘢痕中Ⅰ型和Ⅲ型胶原的含量与比例[J]. 山东大学学报（医学版）, 2016, 54(11): 64-67.
[3] 李中华, 王海琴, 孙玉凯, 芦昌慧, 杨波, 王一民. 瘢痕疙瘩放射治疗的疗效与皮肤张力的关系[J]. 山东大学学报（医学版）, 2015, 53(7): 78-81.
[4] 孙玉凯, 李中华, 王海琴, 芦昌慧, 杨波, 王一民. 两种方法治疗瘢痕疙瘩的前瞻性研究[J]. 山东大学学报（医学版）, 2014, 52(8): 85-89.
[5] 周一冲1，张芮2，冯永强1，冯璋1，王一兵1. 神经生长因子前体在病理性瘢痕中的表达[J]. 山东大学学报（医学版）, 2014, 52(5): 92-95.
[6] 赵真，董白桦，苏士利. 102例剖宫产术后子宫瘢痕处妊娠治疗效果评价[J]. 山东大学学报（医学版）, 2014, 52(1): 75-79.
[7] 李中华1，王海琴2，王一民1，杨波1，孙玉生1. 32P敷贴结合无针缝合器治疗前胸瘢痕疙瘩的疗效[J]. 山东大学学报(医学版), 2013, 51(1): 88-92.
[8] 郑德伟，王志刚，赵旭，李卫国，王益华，孟庆虎，曲春城，王成伟. 应用颅骨多处钻孔硬膜翻转并骨膜贴敷术治疗烟雾病[J]. 山东大学学报(医学版), 2011, 49(8): 140-.
[9] 刘健，王法刚，曹永倩，徐倩，徐荣建. 正、反义VEGF基因转染对人增生性瘢痕成纤维细胞增殖行为的影响[J]. 山东大学学报(医学版), 2011, 49(5): 135-139.
[10] 李 霞,张 芮,冯永强,王一兵 . 增生期和成熟期皮肤瘢痕中的神经纤维形态学观察[J]. 山东大学学报(医学版), 2008, 46(7): 725-728.
[11] 闫宏山,吕润华,王吉昌,赵建平,刘振中,董红,蔡景龙. “促愈瘢痕消”对兔耳增生性瘢痕作用的实验研究[J]. 山东大学学报(医学版), 2007, 45(9): 914-918.
Viewed
Full text
281
HTML PDF
Just accepted Online first Issue Just accepted Online first Issue
0 0 0 0 0 281

  From Others local
  Times 32 249
  Rate 11% 89%

Abstract
1087
Just accepted Online first Issue
0 0 1087
  From Others
  Times 1087
  Rate 100%

Cited
Web of Science  Crossref   ScienceDirect  Search for Citations in Google Scholar >>
 
This page requires you have already subscribed to WoS.
  Shared   
  Discussed   
No Suggested Reading articles found!
版权所有 © 2018 《山东大学学报(医学版)》编辑部　
地址:山东大学科技期刊社（济南市历城区山大南路27号山东大学中心校区明德楼B座721室） 电话: 0531-88366918 E-mail: xbyxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发