کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4116953 1411082 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Auricular reconstruction using a novel three-flap technique improves the auriculocephalic angle
ترجمه فارسی عنوان
بازسازی قلب با استفاده از تکنیک جدید سه فلاپ، زاویه گوشه ای را بهبود می بخشد
کلمات کلیدی
سه فلپ، بازسازی قلب زاویه گوشه اندازه گیری، میکروتیا
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
چکیده انگلیسی

SummaryBackgroundSkin grafting is needed for traditional auricular reconstruction. As the skin grafts contract, the postoperative framework is distorted. This leads to a decrease in the auriculocephalic angle. The objective of this study was to test a new method to cover the reconstructive framework by using three skin flaps and a larger tissue expander than that normally used. This may reduce the distortion of the reconstructed ear and create a well-shaped auriculocephalic angle.MethodsA large expander was inserted in the postauricular mastoid area. Three expanded flaps were then created to cover the anterior and posterior frameworks, with separate mastoid coverage. By measuring the height and angle at three different points on the reconstructed ear and comparing them with the contralateral normal ear, a system for measuring the auriculocephalic angle was established.ResultsThe surface of the framework and the mastoid area were covered by three flaps developed from one large tissue expander. The appearance of the reconstructed ears was similar to that of the normal side by the patient's 6- to 12-month follow-up. The difference in the distance at the three points between the reconstructed and normal sides after the three-flap reconstruction was less than that following traditional reconstruction (p < 0.05). The variation in the angle measured at these three points in the three-flap group was also much smaller than that in the traditional group (p < 0.01).ConclusionsThe three-flap technique not only improves the appearance of the reconstructed ear, but helps shape a perfect auriculocephalic angle.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 69, Issue 10, October 2016, Pages 1430–1435
نویسندگان
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