目的 探讨不同方法切除耳甲腔肿块的可行性和优缺点.方法 收集2010年1月-2014年12月因耳甲腔各种良恶性肿瘤来我科就诊的患者共158例,根据肿块性质分别采用CO2激光气化、手术切除后植皮及耳后皮瓣修复3种方式进行治疗.结果 所有随访病例中,耳后带蒂皮瓣修复27例,全部成活,形态佳,随访半年未见耳郭变形挛缩,患者满意度为95%.植皮86例,2例局部皮肤感染部分坏死,经换药后愈合,8例色素沉着明显,17例可见轻度凹陷,满意度为84.5%.CO2激光治疗72例,未见软骨坏死或耳郭变形,4例术后复发,所有复发病例2次选用手术切除＋耳后带蒂皮瓣修复,满意度为90.4%.结论 耳后带蒂皮瓣修复,具有操作简单、切口隐蔽、成活率高的优点,是耳甲腔肿块切除修复的首选方法。
Objective To investigate the feasibil ity,advantages and disadvantages of various techniques for tumor in the cavity of auricular concha. Metliods From January 2010 to December 2014 ,158 patients with tunmor in the the cavity of auricular concha were treated with different methods. According to the characteristics and patients were divided into three groups：72 cases were treated with CO2 laser, 86 cases were treated with skin grafting after surgica excision, and 27 cases were treated with postauricular pedicle flap after removing the tumors completely.Results After 6 months, follow-up,27 cases of postauricular pedicle were performed well ,with good morpholog and no deformation of auricle. The satisfaction rate was 95%. There were 86 cases of skin grafting,in which 2 casea showed partial skin infection necrosis,8 cases had obvious color,and 17 cases showed slight depression,with ate of 84.5% . There were 72 cases of CO2 laser treatment,without cartilage necrosis or auricle deformity. Four cases of postoperative recurrence were resected with surgical resection,followed by pedicled flap,with the satisfaction rate of 90.4%. Conclusions Postauricular pedicle flap can produce satisfactory outcome in repairing skin defects in the cavity of auricular concha. in both aesthetic and therapeutic aspects,and it is a simple and an optimal method suitable for outpatients.
Chinese Journal of Ophthalmology and Otolaryngology
Cavity of auricular concha
Superficial musculoaponeurotic system