耳后皮下蒂岛状皮瓣修复耳甲腔缺损

目的:观察皮下蒂岛状皮瓣(旋转门皮瓣)修复耳甲腔皮肤缺损创面的效果。方法:2018年4月至2019年4月，东南大学附属徐州医院整形美容科用耳后皮下蒂旋转门皮瓣治疗耳甲腔皮肤缺损10例，男6例，女4例，年龄2个月至68岁，平均57岁；缺损大小1.0 cm×1.0 cm~2.5 cm×1.5 cm。结果:10例患者术后均一...

Random flap with a retroauricular subcutaneous pedicle for reconstuction of anterior auricular conchal defect

Objective To observe the technique of using the random flap with a subcutaneous pedicle forone-stage reconstuction of anterior auricular conchal defect and its efficancy.Methods Ten cases were involved in this study,including 3 cases of carcinoma,6 cases of nevus,and one with iatrogenic detect.Six patients were men,and 4 were women.Their ages were 2 months to 68 years(mean 57 years).Surgical defect size ranged from 1.0 cm×1.0 cm to 2.5 cm×1.5 cm.They were resected and reconstructed using the retroauricular random flap of the subcutaneous pedicle.Results 10 wounds were healed by first intention.The appearance and functionality of the flap matched well with the receiptive site.During 6 to 24 months of follow-up,no tumor or nevus recurred.All patients were satisfied with the aesthetic results of the POSAS assessment scale.Conclusions Aesthetic results are achieved with satisfactory appearance and functionality by this easy-to-learn technique in comparative short surgical time.