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目的评估印迹法制备耳后皮瓣及修复耳廓前部皮肤缺损的临床效果。方法 2013年3月至2015年9月对31例耳郭肿物患者术后较大的皮肤缺损采用耳后皮瓣修复。以纱布印迹法制备耳后皮瓣,皮瓣蒂部根据缺损的位置可在上部或下部。皮瓣蒂部皮肤去上皮后,经制备的软骨窗转位至耳郭前部皮肤缺损区。结果术后转移皮瓣全部成活。随访6~24个月,转移皮瓣皮肤颜色与耳郭及其周围皮肤颜色相似,未发生畸形改变。结论耳后皮瓣修复耳郭前部缺损手术操作简单,术后皮瓣成活率高,且供瓣区位于耳后,瘢痕隐蔽,能取得满意的美学效果,是一种修复耳郭组织缺损较好的方法。
Objective To evaluate the clinical effect of preparing the posterior flap of the ear by imprinting and repair the defect of the anterior skin of the pinna. Methods From March 2013 to September 2015, 31 patients with otorrhagia were treated with posterior skin flap for the treatment of larger skin defects. Preparation of the ear flap with gauze blotting, pedicle flap according to the location of defects in the upper or lower. Flap pedicle skin to the epithelium, the prepared cartilage window transposition to the front of the ear skin defect area. Results All the transplanted flaps survived. After 6 to 24 months of follow-up, the skin color of the transferred flap was similar to the color of the auricle and its surrounding skin without any deformity change. Conclusions The operation of the posterior flap for the repair of auricular anterior defect is simple, the postoperative flap survival rate is high, and the flap area is located behind the ear. The scar is hidden and a satisfactory aesthetic effect can be achieved. Good method.