[1]贺梦男,裴 洁,逯 艳,等. 上下耳轮角皮瓣在Nagata 二期耳廓再造术中的应用[J].中国美容医学,2018,(12):95-97.
　HE Meng-nan,PEI Jie,LU Yan,et al. Application of Upper and Lower Helix Angle Skin Flap in Nagata Stage Ⅱ EarReconstruction[J].Medical Aesthetics and Beauty,2018,(12):95-97.
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 上下耳轮角皮瓣在Nagata 二期耳廓再造术中的应用
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2018年12期
页码:
95-97
栏目:
出版日期:
2018-12-20

文章信息/Info

Title:
 Application of Upper and Lower Helix Angle Skin Flap in Nagata Stage Ⅱ EarReconstruction
文章编号:
1008-6455（2018）12-0095-03
作者:
贺梦男1; 裴 洁2; 逯 艳1; 高晓博1; 王小兵1
Author(s):
HE Meng-nan1; PEI Jie2; LU Yan1; GAO Xiao-bo1; WANG Xiao-bing1
关键词:
 ; [关键词]耳再造; 局部皮瓣; 颅耳角; 整复外科手术; 先天畸形
Keywords:
Key words: auricular reconstruction;  local flap;  cranioauricular angle;  surgical repair;  congenital malformation
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨上下耳轮角皮瓣在Nagata 二期耳廓再造颅耳角成形术中的应用及其临床效果。方法：2016年6月-2017年6
月，对5例Nagata 一期术后3～6个月的先天性单侧小耳畸形患者进行了二期耳廓成形及颅耳角重建：将耳廓支架掀起，软骨
支架置入颅耳沟，耳后筋膜包裹，在乳突区设计两长条形上下耳轮角皮瓣，于贴近颅耳沟处相互拉拢，交叉间断缝合，余创
面植皮。结果：本组5例患者，随访6～12个月，5例患者上下耳轮角皮瓣均全部成活，耳廓与头颅侧壁约成30°夹角，形成
清晰明显的颅耳沟，临床效果满意。结论：Nagata 二期耳廓再造术中应用肋软骨支架联合上下耳轮角皮瓣进行颅耳角重建
可呈现满意的颅耳角结构，且操作相对简单，不增加手术次数，术后耳后皮片瘢痕挛缩率低，使其更具立体感，术后效果满
意，值得临床推广应用。

Abstract:
Abstract: Objective To investigate the application and clinical effect of upper and lower helix angle skin flap in Nagata
Ⅱ auricle reconstruction. Methods We observed 5 patients who were diagnosed with congenital unilateral microtia and
experienced Nagata stage Ⅰ operation. They underwent stage Ⅱ auricular forming and reconstruction of the cranioauricular
angle from June 2016 to June 2017. Brief surgical procedure: lifted auricle scaffold, placed the cartilage scaffold in the cranial
groove, and posterior auricular fascia encapsulated cartilage scaffolds.Two long strips of helix angle skin flap were designed
in the mastoid region. Close to the cranial groove, draw each other, cross and suture. Skin graft on the remaining wounds.
Results We followed up for 6-12 months. The clinical effect of all cases was remarkable. Skin flap survived. The angle
between the auricle and the lateral side of the skull was about 30 degrees, and the cranial groove formed clearly and obviously.
Conclusion The application of costal cartilage scaffold combined with upper and lower helix angle skin flap for reconstruction
of cranioauricular angle in Nagata II ear reconstruction may present a more stereoscopic and satisfactory cranioauricular
angle structure.The operation is relatively simple. It dose not increase the number of operation and it may low the rate of scar
contracture after the operation. It is worthy of clinical application.

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更新日期/Last Update: 2019-01-09