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Ear lobe flap reconstruction of combined

Min-Ping Yu, ear lobe and then the new defect is more common clinical abnormalities, although no dysfunction, but the impact face. Since March 1994 after the hospital together with the ear lobe flap reconstruction 1o cases, the specific surgical method now described below. 1 lO cases clinical data in this group, 8 cases of unilateral,[link widoczny dla zalogowanych], bilateral 2 down, a total of 12 ears, aged 9 to 35 years old. 3 cases of congenital defects,[link widoczny dla zalogowanych], split 7 cases of traumatic defects; complete defect in 6 cases, partial defect in 4 cases. In patients after ear to ear lobe defect margin of the pedicle to the top of the ear lobe of the Ministry to design a slightly larger than the contralateral ear after the tongue-shaped flap, and then to mastoid tip, ear folds at the top of the ear as a pedicle sulcus both sides of the design of a 2 times larger than the former, after the ear-shaped groove tongue flap. Draw lines along the cut 13, after skin incision in the cartilage of shallow and superficial fascia sharp dissection flap. When the ear flaps stripping groove to near the ear folds, should be in the blunt dissection under the muscle behind the ear to the pedicle to protect their ears when the arteries and veins without injury, and the two flaps off, ditch the ear flap for the area around the wound edge to be fully free, suture the wound after bleeding. Flip down the two flaps on each section together, ear flap can cover the ditch after the flap donor site defect of the ear, but also with the ear flaps form a new lobe, interrupted suture the wound edge (Figure 1). 2 Results All patients survived well after the flap, 7 down after 4 to 6 months follow-up results were satisfactory. 3 discuss the use of ear lobe defects treated with flap blood supply for the area nearest the same color and texture,[link widoczny dla zalogowanych], etc., so now the restoration of several commonly used are made of surgical reconstruction of the ear lobe skin flap. Chang Jiang in Yunnan Province of Posts and Telecommunications Hospital plastic off Branch (Kunming, 650011) view of Kunming Medicine J is the second Punic】 Constitution twenty Otolaryngology shaking method with the fixed double-leaf flap mastoid, earlobe defect two mastoid flap species. The former is a pair of cut leaves of mastoid region flap,[link widoczny dla zalogowanych], flap and ear lobe defects set off a folded edge and then stitched to form a new lobe, which required surgical skin graft donor sites exist, ear lobe exposed the shortcomings of scar defect margin; the latter, although more scar the former is not significant, but for the area and also need to re-skin graft on the back of the ear lobe and ear skin grafts after the contraction of the ear lobe after the easy to shape. Compared with the previous two repair methods, repair methods described in this article has a good reconstruction of the ear lobe shape, the donor site can be directly sutured the incision scar in the postauricular sulcus and lasting effect than the advantages of shelter. Furthermore, the method of the pedicle flap is designed with ear vein of the flap with blood vessel, it is easier to flap survival. Earlobe reconstruction l Kids in Kids in use to indicate when the surgical repair should pay attention to, whenever there folds ear, mastoid tip ill have scar tissue, because of its pedicle in the region, scar tissue easily affect the skin flap the blood supply, so the more units in six months after the implementation of scar surgery, can effectively avoid the flaps survived after the adverse consequences of poor or even necrosis (Received 1998-03-07) (Editor beam plate) on the right cheek misdiagnosed as fibroma CT scan in 1 case of maxillary sinus cancer patients Liang Guoqing, female,[link widoczny dla zalogowanych], 41 years old. With right side facial swelling 7 months to the right maxillary sinus cancer hospital. Medical: T36.9uC, P82 times / rain, R20 times / min, BP113/83mmHg (1mmHg = 0.1333kPa). Automatic position. Clear co-operation of God, uplift the right side of the face, no swelling, tenderness. Swollen right eye canthus. There is a yellowish sub-lacrimal point the Fourth People's Marina Hospital of Zigong City, Department of Otolaryngology (d JII Zigong, 643000) secretion. Nasal mucosa congestion, dry, double inferior turbinate hypertrophy. The end of the middle meatus and nasal non-purulent discharge. Without palpable mass in the neck, head and face had history of trauma. Sinus CT scan: right maxillary sinuses within the soft tissue mass in t without expanding on the wall of the maxillary sinus, anterior, medial wall of the bone destruction, soft tissue mass penetration to the face and right eye orbit, right lower turbinate hypertrophy. Diagnosis of right maxillary sinus carcinoma with bone destruction. Right after admission in the local anesthesia