目的总结皮瓣舒平养皮技术治疗耳廓再造术皮肤扩张中后期感染的疗效。 方法2009年7月－2011年7月，5例行皮肤扩张法耳廓再造术的先天性小耳畸形患者在皮肤扩张中后期发生囊内感染。男3例，女2例；年龄6～18岁，中位年龄8岁。2例感染前有呼吸道感染、发热史，3例无明确诱因。检查示皮瓣红肿、有触痛，其中2例扩张皮瓣破溃。设计切口取出扩张器后将扩张皮瓣舒平，待炎症完全消退后采用扩张皮瓣和自体肋软骨行耳廓再造术。 结果皮瓣舒平术后7 d拆线时见3例术前扩张皮瓣无破溃患者的皮瓣与头皮衔接切口均Ⅰ期愈合，1个月后炎症完全消退；2 例皮瓣破溃患者破溃处仍有少量分泌物，3个月后炎症完全消退，破溃切口愈合良好。耳廓再造术后患者切口均Ⅰ期愈合，无并发症发生。患者均获随访，随访时间1～18个月，平均13个月。再造耳形态良好。 结论皮瓣舒平养皮技术可以有效处理皮肤扩张中后期感染，使耳廓再造术顺利完成。
Citation：
何乐人,王淑杰,张晋光,蒋海越,杨庆华,石平. 皮瓣舒平养皮技术治疗耳廓再造术扩张中后期感染. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(9): 1148-1149. doi: 10.7507/1002-1892.20130250
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- 1. Jinguang Z, Leren H, Hongxing Z. Prevention and treatment of rupture and infection in expanded flaps during auricular reconstruction. J Craniofic Surg, 2010, 21(5): 1622-1625.
- 2. Zhao Y, Wang Y, Zhuang H, et al. Clinical evaluation of three total ear reconstruction methods. J Plast Reconstr Aesthet Surg, 2009, 62(12): 1550-1554.
- 3. Jiang H, Pan B, Zhao Y, et al. A 2-stage ear reconstruction for microtia. Arch Facial Plast Surg, 2011, 13(3): 162-166.
- 4. Song YG, Song YL. An improved one-stage total ear reconstruction procedure. Plast Reconstr Surg, 1983, 71(5): 615-622.
- 5. 何乐人, 张晋光, 蒋海越, 等. 合并颅面畸形的小耳畸形患者耳廓再造术. 中国修复重建外科杂志, 2012, 26(12): 1477-1481.
