耳后窄蒂皮下蒂皮瓣是修复耳廓内软组织缺损的理想选择

2012-06-28 张辉摘编 医学论坛网

  苏州大学附属第二医院整形外科余道江、赵天兰等一项研究表明,耳后窄蒂皮下蒂皮瓣蒂部窄长、旋转角度大、修复范围广、不含知名血管,手术操作简便,供区隐蔽,是修复耳廓内软组织缺损的理想方法之一。该论文发表在《中国修复重建外科杂志》[2012,(6):721]。   研究者回顾性分析了2008 年6 月-2011 年7 月间耳廓内肿物切除后软组织缺损患者11&n

  苏州大学附属第二医院整形外科余道江、赵天兰等一项研究表明,耳后窄蒂皮下蒂皮瓣蒂部窄长、旋转角度大、修复范围广、不含知名血管,手术操作简便,供区隐蔽,是修复耳廓内软组织缺损的理想方法之一。该论文发表在《中国修复重建外科杂志》[2012,(6):721]。

  研究者回顾性分析了2008 年6 月-2011 年7 月间耳廓内肿物切除后软组织缺损患者11 例。男7 例,女4 例;年龄平均50 岁。其中色素痣5 例,基底细胞癌2 例,混合性血管瘤2 例,皮肤乳头状瘤2 例。平均病程35 年。彻底切除肿物后,软组织缺损范围为1.5 cm × 1.0 cm ~ 3.5 cm × 3.0 cm。沿颞浅动脉及耳后动脉走向,设计耳后“乒乓球拍状”窄蒂皮下蒂皮瓣,通过隧道移位修复缺损,皮瓣切取范围1.8 cm × 1.3 cm ~ 3.8 cm × 3.3 cm,蒂宽0.4 ~ 0.7 cm、长2 ~ 5 cm。供区直接拉拢缝合或局部皮瓣移位修复。

  结果显示,术后供、受区皮瓣均顺利成活,切口均Ⅰ期愈合。术后8 例获随访,随访时间6 个月~ 1 年。皮瓣质地、弹性、色泽良好,耳廓外形良好。肿瘤患者无复发。

 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=5335, encodeId=0c18533558, content=I was looking evreywhree and this popped up like nothing!, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=Fazranaura, createdTime=Mon Jan 07 19:38:00 CST 2013, time=2013-01-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1420348, encodeId=45bc1420348fa, content=<a href='/topic/show?id=2221935219e' target=_blank style='color:#2F92EE;'>#软组织#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93521, encryptionId=2221935219e, topicName=软组织)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=52913579937, createdName=qilu_qi, createdTime=Sat Jun 30 05:23:00 CST 2012, time=2012-06-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1425617, encodeId=3199142561e2d, content=<a href='/topic/show?id=e0cae1973bb' target=_blank style='color:#2F92EE;'>#皮瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71973, encryptionId=e0cae1973bb, topicName=皮瓣)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9df03986056, createdName=sunylz, createdTime=Sat Jun 30 05:23:00 CST 2012, time=2012-06-30, status=1, ipAttribution=)]
    2013-01-07 Fazranaura

    I was looking evreywhree and this popped up like nothing!

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=5335, encodeId=0c18533558, content=I was looking evreywhree and this popped up like nothing!, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=Fazranaura, createdTime=Mon Jan 07 19:38:00 CST 2013, time=2013-01-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1420348, encodeId=45bc1420348fa, content=<a href='/topic/show?id=2221935219e' target=_blank style='color:#2F92EE;'>#软组织#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93521, encryptionId=2221935219e, topicName=软组织)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=52913579937, createdName=qilu_qi, createdTime=Sat Jun 30 05:23:00 CST 2012, time=2012-06-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1425617, encodeId=3199142561e2d, content=<a href='/topic/show?id=e0cae1973bb' target=_blank style='color:#2F92EE;'>#皮瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71973, encryptionId=e0cae1973bb, topicName=皮瓣)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9df03986056, createdName=sunylz, createdTime=Sat Jun 30 05:23:00 CST 2012, time=2012-06-30, status=1, ipAttribution=)]
    2012-06-30 qilu_qi
  3. [GetPortalCommentsPageByObjectIdResponse(id=5335, encodeId=0c18533558, content=I was looking evreywhree and this popped up like nothing!, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=Fazranaura, createdTime=Mon Jan 07 19:38:00 CST 2013, time=2013-01-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1420348, encodeId=45bc1420348fa, content=<a href='/topic/show?id=2221935219e' target=_blank style='color:#2F92EE;'>#软组织#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93521, encryptionId=2221935219e, topicName=软组织)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=52913579937, createdName=qilu_qi, createdTime=Sat Jun 30 05:23:00 CST 2012, time=2012-06-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1425617, encodeId=3199142561e2d, content=<a href='/topic/show?id=e0cae1973bb' target=_blank style='color:#2F92EE;'>#皮瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71973, encryptionId=e0cae1973bb, topicName=皮瓣)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9df03986056, createdName=sunylz, createdTime=Sat Jun 30 05:23:00 CST 2012, time=2012-06-30, status=1, ipAttribution=)]
    2012-06-30 sunylz