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耳郭周边缺损修复常用的有楔形切除后缝合,健耳复合瓣移植术和Antia皮肤软骨瓣修复等术式。为解决涉及耳轮、耳舟和对耳轮较大耳郭缺损的修复,美国印第安那州医院整形外科Joseph在Antia瓣的基础上提出一种新的术式。并应用于2例耳郭缺损患者,获得满意疗效。术式具体步骤如下:在对耳轮处作弧形切口,切开皮肤及软骨,在切口上下两极各作一楔形切口,形成复合皮肤软骨瓣,该瓣与耳郭缺损缘之间的正常皮肤组织予以保留,但应与复合瓣分开。向前推移该瓣,调整多余皮肤,关闭缺损。对于耳轮部缺损较大者,要在复合瓣外缘切除一条形组织,直至缺损区能在无张力状况下缝合。
Auricular defects around the repair commonly used after wedge resection suture, Jian ear compound flap transplantation and Antia skin cartilage repair and other surgical procedures. In order to address the repair of large auricular defects involving the ear canal, ear boat, and ear, the United States Indiana Hospital Plastic Surgery Joseph proposed a new surgical procedure based on the Antia flap. And applied to 2 cases of auricular defect patients, access to satisfactory results. Specific procedures are as follows: at the ear for arc-shaped incision, incision of the skin and cartilage, incision in the upper and lower poles for a wedge-shaped incision, the formation of composite skin cartilage flap, flap and ear defect between the normal skin tissue Retained, but should be separated from the compound flap. Move the flap forward, adjust excess skin, and close the defect. For the greater loss of the ear wheel, the outer edge of the composite flap resection of a strip of tissue, until the defect area can be sutured under tension-free conditions.