کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4117222 1270299 2016 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A new strategy for total auricular reconstruction using prelamination of an extended retroauricular flap with tissue expansion
ترجمه فارسی عنوان
یک استراتژی جدید برای بازسازی کلیه حنجره با استفاده از پیش آمدن یک فلپ عقب عقربی بلند با گسترش بافت
کلمات کلیدی
میکروتیا، بازسازی گوش، تلنگر فلپ، گسترش بافت، پیوند پوست
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
چکیده انگلیسی

SummaryBackground and aimTo accomplish total ear reconstruction with aesthetic appearance is a great challenge for plastic surgeons worldwide due to insufficient skin coverage. A retroauricular fascial flap and skin graft technique are commonly used, but the results obtained are not satisfactory due to color mismatch, severe edema, and donor-site morbidity. Here, we describe a novel strategy for total ear reconstruction, utilizing an extended retroauricular flap prelaminated with tissue expansion to obtain enough skin for ear reconstruction.MethodsAbout 2 months before ear reconstruction, a kidney-shaped tissue expander was inserted at the mastoid region subcutaneously. The retroauricular skin became enlarged and thinner in 2 months after expansion. Next, the expander was removed and the retroauricular flap was extended by dissecting the surrounding scalp subcutaneously. By mobilizing the scalp-extended retroauricular flap, we could encapsulate the entire framework with thin and non-hair-bearing skin.ResultsFrom August 2014 to September 2015, 36 microtia patients had undergone ear reconstruction using the novel strategy. Satisfactory aesthetics along with fine structure, symmetry, and maintenance of the auriculocephalic angle was achieved in all patients.ConclusionsUsing our novel strategy, we can obtain satisfactory aesthetic outcomes by fully mobilizing the expanded skin without additional morbidities of the donor sites. Patients are satisfied with the vivid ear contour and lack of groin scar.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 69, Issue 6, June 2016, Pages 819–826
نویسندگان
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