耳后超薄皮瓣在耳廓再造术中应用外科学专业论文.docxVIP

西南医科大学硕士学位论文The 西南医科大学硕士学位论文 The cfinical application of auricular reconstruction with the postauricular ultrathin skin flap Abstract：Objective：discuss the clinical e伍cacy and security of auricular reconstruction with the postauricular ultrathin skin flap．Methods：In retrospective survey,we analyzed 2 1 cases of patients who took auricular reconstruction from May．2014 to May．2016．There were 16 males and 4 females with 9 left ears reconstruction，1 0 right ears reconstruction and one bilateral ears reconstruction．The oldest patient was 32 and the youngest one was 7，with average age 1 5．During the first stage，we constructed the ear framework with autologous rib cartilage，which was embedded in the post。auricular flap．After one month，the hair on the flap was removed by laser． 0n the second stage．we fixed the autologous wedged—shape cartilage on the original embedded ear framework to increase the auricular angle．The exposed cartilage was covered by skin graft．On the third stage，we improved subunits of the ear．Results：20cases(2 1 ears)have completed auricle reconstruction．There were no completed in 1 9cases(85％)．On the first stage， only one case(5％)was found cartilage exposure．Partial flap necrosis and auricle deformation were found on two patients(1 0％)respectively．All complications were solved by surgical debridement and repair surgery．No infection and absorption of cartilage framework occurred．All of the constructed ears were satisfied with the results，including good shape and steady auriculocephalic angles．All of cases without remarkable SCar 万方数据 西南医科大学硕士学位论文hyperplasia．After 西南医科大学硕士学位论文 hyperplasia．After the follow-up of 6m-1 2m， scored the condition of reconstructive ear according to the condition．For the 1 8 cases，the shape of reconstructive ear verisimilitude，clear structure of subunit，good shape and steady auriculocephalic angles．There was no significant cartilage absorption or retract trend of the reconstructive ear．The color of grafting skin area is clo