宁金龙 高学宏 李小静 曹东升 张林 230022 合肥，安徽医科大学第一附属医院整形外科 中华整形烧伤外科杂志 1998 0 14 2


    关键词：耳轮缺损；乳突区；皮瓣；耳甲软骨 期刊 zhzxsswkzz 0 论著 fur -->


    

【摘要】 目的 介绍大块耳轮缺损Ⅰ期修复技术。方法 应用陈氏对外伤性耳廓部分缺损修复术式，并改进设计以耳廓缺损前缘为蒂的耳后乳突区皮瓣，携带耳甲后软骨块，或以缺损缘一端为蒂，切取一条正常软骨宽0.3～0.4cm，固定支撑，皮瓣包卷覆盖塑形。供区两个V\|Y滑行推进皮瓣或断层皮片移植修复。结果 完成手术11例，均获成功，耳廓总体不减小，形态恢复较满意。结论 此方法为修复大块耳廓缺损提供了简便、安全可靠的一种新方法。

    An improved method for one\|stage reconstruction oftraumatic partial ear defect NingJinlong,Gao Xuehong,Li Xiaojing,et al. Department of Plastic Surgery,The First AffiliatedHospital,Anhui Medical University,Hefei 230022

    【Abstract】 Objective This is tointroduce a modified method for one\|stage reconstruction of traumatic partial ear defect.Methods The Chen’s method for repair of traumaticpartial ear defect was modified and improved.During the operation,a postauricular\|mastoidflap based on the edge of the helix defect was raised .As the frame,a piece of conchacartilage taken together with the flap or costal cartilage of 0.3～0.4 cm in width was fixed to the auricular defect.The postauriculardonor site was repaired using two v\|y advanced flaps or split skin graft.Results Theoperation results were all excellent in 11 cases.Conclusion The operationmethod is useful in repairing traumatic partial ear defect,which is easy and safe.

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