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題 名 | Reconstruction of Traumatic Ear Loss with Prefabricated Radial Forearm Flap: A Case Report=以預構前臂橈側皮瓣重建創傷性全耳缺損--一病例報告 |
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作 者 | 呂俊德; 陳伊呈; 簡文祥; 林雍球; 顏榮信; 宋定宇; 唐友文; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 19:4 2010.12[民99.12] |
頁 次 | 頁337-343 |
分類號 | 416.413 |
關鍵詞 | 外傷性全耳缺損; 耳朵重建; 預構前臂橈側皮瓣; Prefabricated forearm flap; Reconstruction of ear; Traumatic ear loss; |
語 文 | 英文(English) |
中文摘要 | 背景:耳朵的重建手術,因爲耳朵本身是立體的構造,加上本身覆蓋皮膚的上皮較一般部位要薄,一直是整形外科最大的挑戰之一。在2006年,江原正大夫提出合併使用組織擴張器及預構前臂橈側皮瓣重建一嚴重疤痕化的小耳症患者,並獲得良好結果。我們利用類似的方法,替一位外傷性左全耳缺損的病患做重建手術。目的及目標:許多重建的方法,都曾被提出用來重建外傷性耳朵缺損。手術的選擇,則根據耳朵周圍皮膚,血管及顳頂筋膜的情況,而有不同的重建考量。由於此位病人本身耳部附近皮膚,顳頂筋膜及顳淺動脈受損,包括局部耳後皮瓣,同側顳頂筋膜皮瓣,對側顳頂筋膜游離皮瓣皆不適用。材料及方法:我們爲一位外傷性左全耳缺損合併有顳頂筋膜及血管受損病人病患,將組織擴張器放入前臂,之後置換成雕塑好的耳軟骨,最後用顯微手術,做重建手術。結果:病人在兩年來的追蹤,顯示令人滿意的結果。結論:利用預構前臂橈側皮瓣可作爲重建外傷性全耳缺損的選擇,尤其當局部的皮膚,筋膜,血管都受損而無法使用的時候。 |
英文摘要 | Background: Reconstruction of total ear loss is a challenging task for most plastic surgeons due to the three-dimensional caritilage structure and thin intact skin coverage. In 2006, Chiang reported a method combining tissue expansion and prefabrication of forearm flap for a microtia patient with scarred temporal area and the result is excellent. We used similar method to reconstruction a patient with left ear traumatic loss. Aim and objectives: Many methods have been proposed for reconstruction of traumatic ear loss which depend on regional skin, temporopariental fascia and vessel condition. Due to severe injury of temporopariental fascia and superficial temporal artery, regional flap, ipslateral temporopariental fascia flap or contralateral temporopariental fascia free flap is not indicated in our case. Materials and Methods: We used combining tissue expander on forearm and prefabrication of radial forearm flap with sculptured cartilage ear framework, then later free transferred to reconstruct a patient with left ear traumatic loss. Reults: The patient had a satisfactory asthetic result at follow up 2 years later. Conclusion: This flap should be considered for post-traumatic ear reconstruction, where healthy regional skin, fascia and superficial temporal artery are not available. |
本系統中英文摘要資訊取自各篇刊載內容。