EFFECTIVENESS OF V-Y ADVANCED RETROAURICULAR FLAP FOR REPAIRING MILD AND MODERATE EARLOBE DEFECTS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CAOZhe ¹ , TANShenxing ² , NIUChangying ³ , DONGYanhui ¹ ,  LIANGXiaoqin ¹ , XUShujuan ⁴ , JICaixia ¹

1. Institute of Reconstructive Plastic Surgery, Weifang Medical University, Weifang Shandong, 261042, P.R.China;
2. Department of Orthopedics, Plastic Surgery Hospital of Weifang Medical University;
3. Department of Dermatology, Affiliated Hospital of Weifang Medical University;
4. Department of Burn and Plastic Surgery, Shanxian Central Hospital;

Corresponding author：

LIANGXiaoqin, Email: liangxq2002@163.com

Keywords：

Earlobe defect; V-Y advanced retroauricular flap; Repair and reconstruction

DOI：

10.7507/1002-1892.20160280

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Objective To investigate the effectiveness of the V-Y advanced retroauricular flap for repairing mild and moderate earlobe defect. Methods Between September 2014 and July 2015, V-Y advanced retroauricular flap was used to repair earlobe defect in 6 patients. There were 1 male and 5 females, aged 18 to 30 years (mean, 23 years). The left earlobe was involved in 2 cases and the right earlobe in 4 cases, including 2 cases of congenital earlobe defect and 4 cases of secondary earlobe defect; 1 patient had congenital deformity of upper auricle. According to self-made criteria for earlobe defect, 5 cases were rated as mild defect and 1 case as moderate defect. Results All incisions healed at the first stage, and the flaps survived smoothly. The patients were followed up 3 to 12 months, with an average of 9 months. The reconstructed earlobes had natural size and shape, and smooth curve; the texture and color were close to the adjacent skin. The effectiveness was satisfactory. Conclusion The V-Y advanced retroauricular flap for repairing mild and moderate earlobe defect can achieve natural earlobe and aesthetic plastic effectiveness, so it is a safe and ideal earlobe reconstruction method.

Citation： CAOZhe, TANShenxing, NIUChangying, DONGYanhui, LIANGXiaoqin, XUShujuan, JICaixia. EFFECTIVENESS OF V-Y ADVANCED RETROAURICULAR FLAP FOR REPAIRING MILD AND MODERATE EARLOBE DEFECTS. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(11): 1370-1372. doi: 10.7507/1002-1892.20160280 Copy

1.	阳俊杰, 邓安春.耳后区不同带蒂皮瓣修复外耳道及耳廓皮肤缺损的临床疗效观察.重庆医学, 2016, 45(1): 108-110.
2.	侯团结, 李平松, 施泽宏, 等.改进的耳后乳突区皮瓣修复耳垂缺损.中国美容医学, 2009, 18(8): 1060-1061.
3.	徐凯, 周龙, 孔生生, 等.耳前皮瓣修复全耳垂缺损一例临床分析.中国美容医学, 2011, 20(12): 1886-1887.
4.	Yotsuyanagi T, Yamashita K, Sawada Y. Reconstruction of congenital and acquired earlobe deformity. Clin Plast Surg, 2002, 29(2): 249-255.
5.	李恩宇, 田玉琴, 郭庆生.转移皮瓣修复耳垂瘢痕疙瘩切除手术疗效观察.临床耳鼻咽喉头颈外科杂志, 2015, 9(10): 948-949.
6.	杨娴娴, 张如鸿.先天性耳垂畸形及其修复.中国美容医学, 2006, 15(4): 474-476.
7.	卿勇, 岑瑛, 刘晓雪, 等.耳后皮瓣的临床应用.中国修复重建外科杂志, 2010, 24(7): 895-896.
8.	邓建平, 黄雁翔, 裴春燕, 等.应用耳后皮瓣修复耳垂缺损.中国美容医学, 2011, 20(3): 382-383.
9.	宁金龙, 朱飞, 笪向东, 等.应用Limberg瓣再造耳垂.整形再造外科杂志, 2005, 2(4): 206-208, 232.
10.	Singh A, Singh G. Earlobe reconstruction using a limberg flap in six ears. Br J Plast Surg, 2003, 56(1): 33-36.
11.	王炜.整形外科学.杭州:浙江科学技术出版社, 1999: 1086-1087.
12.	王淑杰, 庄洪兴, 韩娟, 等.双舌形皮瓣修复先天缺损型耳垂裂.中国实用美容整形外科杂志, 2005, 16(1): 22-23.
13.	柏正群, 李曼, 刘建兵.耳廓肿瘤切除后缺损修复的治疗分析.实用临床医学, 2016, 17(2): 54-55.
14.	周明光, 汤建国, 范正钢.耳后带蒂肌皮瓣移植修复耳廓部分缺损.中华耳鼻咽喉科杂志, 2004, 39(9): 573.
15.	刘全, 游晓波, 张家建.耳后带蒂随意皮瓣贯穿法修复耳廓皮肤缺损21例效果观察.实用医院临床杂志, 2012, 9(6): 147-148.
16.	余道江, 赵天兰, 徐又佳, 等.耳后窄蒂皮下蒂皮瓣修复耳廓内软组织缺损.中国修复重建外科杂志, 2012, 26(6): 721-723.
17.	梁惠宇, 杨彪炳, 谭慎兴, 等.耳下区菱形皮瓣折叠修复耳垂缺损的疗效评价.山东大学学(医学版), 2016, 54(3): 87-90.

1. 阳俊杰, 邓安春.耳后区不同带蒂皮瓣修复外耳道及耳廓皮肤缺损的临床疗效观察.重庆医学, 2016, 45(1): 108-110.
2. 侯团结, 李平松, 施泽宏, 等.改进的耳后乳突区皮瓣修复耳垂缺损.中国美容医学, 2009, 18(8): 1060-1061.
3. 徐凯, 周龙, 孔生生, 等.耳前皮瓣修复全耳垂缺损一例临床分析.中国美容医学, 2011, 20(12): 1886-1887.
4. Yotsuyanagi T, Yamashita K, Sawada Y. Reconstruction of congenital and acquired earlobe deformity. Clin Plast Surg, 2002, 29(2): 249-255.
5. 李恩宇, 田玉琴, 郭庆生.转移皮瓣修复耳垂瘢痕疙瘩切除手术疗效观察.临床耳鼻咽喉头颈外科杂志, 2015, 9(10): 948-949.
6. 杨娴娴, 张如鸿.先天性耳垂畸形及其修复.中国美容医学, 2006, 15(4): 474-476.
7. 卿勇, 岑瑛, 刘晓雪, 等.耳后皮瓣的临床应用.中国修复重建外科杂志, 2010, 24(7): 895-896.
8. 邓建平, 黄雁翔, 裴春燕, 等.应用耳后皮瓣修复耳垂缺损.中国美容医学, 2011, 20(3): 382-383.
9. 宁金龙, 朱飞, 笪向东, 等.应用Limberg瓣再造耳垂.整形再造外科杂志, 2005, 2(4): 206-208, 232.
10. Singh A, Singh G. Earlobe reconstruction using a limberg flap in six ears. Br J Plast Surg, 2003, 56(1): 33-36.
11. 王炜.整形外科学.杭州:浙江科学技术出版社, 1999: 1086-1087.
12. 王淑杰, 庄洪兴, 韩娟, 等.双舌形皮瓣修复先天缺损型耳垂裂.中国实用美容整形外科杂志, 2005, 16(1): 22-23.
13. 柏正群, 李曼, 刘建兵.耳廓肿瘤切除后缺损修复的治疗分析.实用临床医学, 2016, 17(2): 54-55.
14. 周明光, 汤建国, 范正钢.耳后带蒂肌皮瓣移植修复耳廓部分缺损.中华耳鼻咽喉科杂志, 2004, 39(9): 573.
15. 刘全, 游晓波, 张家建.耳后带蒂随意皮瓣贯穿法修复耳廓皮肤缺损21例效果观察.实用医院临床杂志, 2012, 9(6): 147-148.
16. 余道江, 赵天兰, 徐又佳, 等.耳后窄蒂皮下蒂皮瓣修复耳廓内软组织缺损.中国修复重建外科杂志, 2012, 26(6): 721-723.
17. 梁惠宇, 杨彪炳, 谭慎兴, 等.耳下区菱形皮瓣折叠修复耳垂缺损的疗效评价.山东大学学(医学版), 2016, 54(3): 87-90.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF V-Y ADVANCED RETROAURICULAR FLAP FOR REPAIRING MILD AND MODERATE EARLOBE DEFECTS

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