烧伤后用耳后筋膜瓣行耳再造

目的介绍烧伤后在耳后有扁平状瘢痕的情况下,利用耳后筋膜瓣行一期耳再造.方法在耳后做横T形切口,掀起耳后筋膜瓣包裹软骨支架,筋膜瓣上游离植皮.耳后供瓣区瘢痕皮肤缝合.结果本组病例17个残耳经过耳后筋膜瓣行耳再造,经3个月到2年的随访,其颅耳角恢复,功能外观明显改善.结论耳后筋膜瓣因其丰富的网状血管吻合,较其它治疗方法更简便,不损伤知名血管,创伤小,位置隐蔽,是很好的耳再造方法.

Application of retroauricular fascial flap to postburn auricular reconstruction

Objective To introduce a new technique of one-stage auricular reconstruction by using the retroauricular fascial flap. Methods The retroauricular fascial flap was designed to cover a cartilage framework for auricular reconstruction. Results Seventeen cases who had injured over two years and received no surgical treatment, underwent auricular construction. In 3-month to 2-year follow-up, all patients obtained satisfactory appearance of the reconstructed ears that possess delicate structure and close color to adjacent skin. Conclusion For retroauricular fascial flap has adequate blood supply, it makes operating procedure simple and the occurrence rate of complication reduced. It is proven that this is a good method of auricular reconstruction.