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三阶段预层辐射前臂片用于头皮突破损伤后的全耳性重建

Bo Liang¹, Yan Xue¹, Wanqiao Zhang¹

¹Department of Hand and Foot Microsurgery Huabei Petroleum Administration Bureau General Hospital Renqiu Hebei China.

Clinical case reports

|February 23, 2026

概括

这项研究提出了一种新的耳朵重建技术,使用预层辐射前臂片,用于严重头皮脱落的患者. 该方法成功地恢复了耳朵的形状和功能,当传统方法无法实现时.

科学领域:

整形外科整形外科整形外科
重建性手术是一种重建性手术.
耳鼻喉科耳鼻喉科耳鼻喉科

背景情况:

完全的头皮脱落和耳朵截肢带来了重大的重建挑战.
当地组织的损失,如乳头皮肤和 temporoparietal 带膜阻碍了标准耳朵重建方法.

研究的目的:

用一个远程的,预层的辐射前臂来描述一个完全的耳朵重建.
为了评估这项技术在患有先前头皮脱落的患者中的疗效和结果.

主要方法:

这是一种两阶段的方法,涉及前臂组织的扩张和随后的预层辐射前臂的自由转移.
自生肋骨软骨被用于框架建设,并插入到扩展上以成熟.
片被转移到胸骨区域,并被解剖到保存的表面血管中.

主要成果:

经过重建的耳朵 (新耳朵) 在手术后6个月表现出对称的轮,良好的颜色匹配,以及明确的解剖特征 (螺旋/反螺旋).
捐赠者的前臂部位保持了完全的手腕功能.
没有观察到诸如感染,显著暴露或软骨再吸收等重大并发症.

结论:

远程,预层辐射前臂膜耳膜重建是复杂情况下,当局部组织不可用时,耳朵修复的可靠选择.
这种技术提供了一个可行的解决方案,用于耳朵修复,当所有传统的手术选项已经耗尽.

关键词:

耳朵的重建耳朵的重建微血管手术是微血管手术.预层化预层化辐射前臂的翻盖头皮的剥离,头皮的剥离

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