Pedicled superficial temporal fascia flap and local skin graft combined with cartilage transplantation effec-tively repair cartilage scaffold exposure in auricular reconstruction
Objective The study aimed to investigate the therapeutic efficacy of transplantation and concealment by pedicled superfi-cial temporal fascia flap and local skin grafting in conjunction with cartilage transplantation for the repair of exposed cartilage scaf-folds following auricular reconstruction.Methods Six patients with cartilage scaffold exposure post-auricular reconstruction surgery underwent treatment.Granulation tissue and necrotic cartilage were thoroughly removed from the wound.In cases of cartilage de-fects,the repair involved utilizing either residual ear cartilage or autogenous costal cartilage.Subsequently,we flipped over the su-perficial temporal fascia flap to concealment by the exposed cartilage and employed a medium-thickness free skin graft for skin graft-ing.Results All surgical wounds healed through primary intention and grafts exhibited complete survival.Postoperative follow-ups ranging from 3 months to 3 years revealed a reconstructed ear with a realistic shape,distinct contour,and no recurrence of cartilage exposure or other issues.The patients expressed satisfaction with the surgical outcome.Conclusion The application of transplanta-tion and concealment by pedicled superficial temporal fascia flap and local skin grafting for repairing cartilage scaffold exposure after auricular reconstruction yielded good results worthy of clinical recognition and application.
MicrotiaSuperficial temporal fascia flapCartilage framework exposureAuricle reconstructionCartilage transplantation
NETL
NSTL
万方数据
维普
