کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4121390 1270393 2008 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The anatomy and application of the postauricular fascia flap in auricular reconstruction for congenital microtia
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
پیش نمایش صفحه اول مقاله
The anatomy and application of the postauricular fascia flap in auricular reconstruction for congenital microtia
چکیده انگلیسی

SummaryBackgroundThe various layers of the scalp are widely used in reconstructive procedures. The technique used for soft tissue coverage seems to influence the framework extrusion rate in auricular reconstruction. We have investigated the role of the postauricular fascial flap in providing ample, thin neurovascular cover to facilitate ear reconstruction in congenital microtia.MethodsFollowing postauricular cutaneous tissue expansion, the postauricular neurovascular fascia flap was raised to partially cover the projected three-dimensional autogenous cartilage framework. A suction drain was placed in the pocket to allow the skin to coapt to the framework and a split-thickness skin graft was applied to complete coverage.ResultsAt final assessment, the aesthetic results were analysed subjectively. Four hundred and thirty-eight ears underwent total ear reconstruction in 428 patients using the postauricular fascial flap technique. None of the reconstructions failed, and all patients were satisfied with the results.ConclusionsThe use of a postauricular fascial flap and skin graft enhances safety and provides better vascularisation of the underlying cartilage.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 61, Supplement 1, 2008, Pages S70–S76
نویسندگان
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