The treatment and prevention of flap necrosis aftertotal auricle reconstraction in children

FU Yuexian; et al

doi:10.13406/j.cnki.cyxb.2004.06.046

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The treatment and prevention of flap necrosis aftertotal auricle reconstraction in children

更新时间：2024-01-17

- The treatment and prevention of flap necrosis aftertotal auricle reconstraction in children
- Journal of Chongqing Medical University Issue 6, Pages: 846-848(2004)
- 作者机构：
  
  1. 重庆医科大学儿科学院整形外科
  2. 重庆医科大学儿科学院整形外科,重庆,400014
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.06.046
  CLC： R764.9
- Published：2004，
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[1]傅跃先,向代理,邱琳,田晓菲,刘燕.儿童全耳再造术皮瓣坏死的治疗及预防[J].重庆医科大学学报,2004(06):846-848.

FU Yuexian, et al. The treatment and prevention of flap necrosis aftertotal auricle reconstraction in children. [J]. Journal of Chongqing Medical University (6):846-848(2004)
[1]傅跃先,向代理,邱琳,田晓菲,刘燕.儿童全耳再造术皮瓣坏死的治疗及预防[J].重庆医科大学学报,2004(06):846-848. DOI： 10.13406/j.cnki.cyxb.2004.06.046.

FU Yuexian, et al. The treatment and prevention of flap necrosis aftertotal auricle reconstraction in children. [J]. Journal of Chongqing Medical University (6):846-848(2004) DOI： 10.13406/j.cnki.cyxb.2004.06.046.

摘要

目的 :探讨儿童全耳再造术皮瓣坏死的治疗原则及预防措施。方法 :回顾性分析全耳再造术患儿的临床资料。 1992～ 2 0 0 2年

施行全耳再造术 2 0例（2 1只耳）

16例（17只耳）一期愈合

4例（4只耳）发生皮瓣坏死

面积 1.5cm× 3cm～ 6cm×5cm。 4例分别采用患侧遗留颞浅筋膜瓣转移加全厚植皮术、同侧上臂随意皮瓣带蒂转移术修复。结果 :4例创面最终愈合

外形需择期修整。结论 :皮瓣坏死的治疗原则是 :适时去除坏死组织

首选患侧遗留颞浅筋膜瓣转移加全厚植皮术。预防全耳再造术皮瓣坏死的关键是充分保障颞浅筋膜瓣的血供。

Abstract

Objective:To investigate the principle of treatment and the preventive measures of flap necrosis after total auricle reconstraction in children.Methods:From 1992 to 2002

the flap necrosis occured in 4 of 20 cases(17 ears) undergoing operation of total auricle reconstraction

the areas of necrosis was ranged from 3×1.5cm to 6×5cm. 4 cases were repaired by using remnant temporal superficial fascia flaps combining with full-thickness skin graft and random upper arm flap

respectively.Results:The wounds of 4 cases were completely healed.Conclusion:The principle of treatment is to remove necrotic tissue and to use remnant temporal superficial fascia flap with full-thickness skin graft to cover the wounds.The key of preventing flap necrosis is to maintain the blood supply of temporal superficial fascia flap.

关键词

全耳再造术皮瓣坏死治疗预防

Keywords

Total auricle reconstractionFlapNecrosis of tissuetreatmentprevention

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Related Author

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Related Institution

Department of Gastroenterology,The First Affiliated Hospital of Chongqing Medical University

Department of Infectious Diseases，The First Affiliated Hospital of Chongqing Medical University

Department of Traditional Chinese Medicine，Children’s Hospital，Zhejiang University School of Medicine/ National Clinical Research Center for Child Health

Department of Pediatrics，The Affiliated Hospital of Nanjing University of Chinese Medicine，The First Clinical Medical College of Nanjing University of Chinese Medicine

Department of Respiratory Medicine，Children’s Hospital，Zhejiang University School of Medicine/ National Clinical Research Center for Child Health

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