| “双瓣”技术在耳廓再造中的应用 |
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| 引用本文： | 林琳,潘博,庄洪兴,韩娟,杨庆华,赵延勇,何乐人,王淑杰,蒋海越.“双瓣”技术在耳廓再造中的应用[J].临床耳鼻咽喉头颈外科杂志,2009,23(22):1017-1019. |
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| 作者姓名： | 林琳 潘博 庄洪兴 韩娟 杨庆华 赵延勇 何乐人 王淑杰 蒋海越 |
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| 作者单位： | 中国医学科学院整形外科医院外耳再造中心,北京,100144 |
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| 基金项目： | 卫生部临床学科重点项目，国家自然科学基金 |
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| 摘 要： | 目的：探讨“双瓣”技术在耳廓再造中的应用。方法：第1期手术行皮肤定量扩张器埋置，注水治疗完毕后维持扩张1个月。第2期设计扩张的耳前皮瓣和未扩张的筋膜瓣，应用“双瓣”技术进行耳廓再造术。于2004～01—2008—12共应用扩张的耳前皮瓣和未扩张的耳后筋膜瓣的“双瓣”技术实施耳廓再造1427只。结果：扩张的耳前皮瓣能够清晰显现再造耳廓表面细微结构；未扩张的耳后筋膜瓣形成良好的颅耳沟，再造耳廓立体感强。结论：“双瓣”技术操作简单、并发症较少，再造耳廓不仅形态逼真而且具有立体结构。
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| 关 键 词： | “双瓣”技术 耳廓再造 耳前皮瓣 筋膜瓣 |
Implication of technique of "two-flap" in ear reconstruction |
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| LIN Lin,PAN Bo,ZHUANG Hongxing,HAN Juan,YANG Qinghua,ZHAO Yanyong,HE Leren,WANG Shujie,JIANG Haiyue.Implication of technique of "two-flap" in ear reconstruction[J].Journal of Clinical Otorhinolaryngology,2009,23(22):1017-1019. |
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| Authors: | LIN Lin PAN Bo ZHUANG Hongxing HAN Juan YANG Qinghua ZHAO Yanyong HE Leren WANG Shujie JIANG Haiyue |
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| Institution: | (Auricular Reconstructive Center,Plastic Surgery Hospital, Chinese Acaderny of Medical Sciences, Beijing, 100144, China) |
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| Abstract: | Objective:To explore the technique of "two-flap" in ear reconstruction.Method:Quantitative tissue expansions were used in the mastoid area in the first stage.After the final injection,there was 1 month of sustaining time.Expanded skin flap and unexpanded fascia flap were designed in the second stage,so the"two-flap"technique was used in the ear reconstruction.From January 2004 to December 2008,1 427 patients of microtia were treated using "two-flap" technque.Result:The expanded skin flap could show the fine structures of the reconstructed ears.The reconstructed ears had vivid cranioauricular angle after using the unexpanded fascia flap.Conclusion: "Two-flap" method was easily manipulated and the complications were rare.The reconstructed ears had lucid and three-dimensional contour. |
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| Keywords: | "two-flap" technique ear reeonstruction preauricular skin flap fascia flap |
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