The auricular reconstruction using delayed postauricular skin flap applied to concha-type microtia
Objective To explore the efficacy of the auricular reconstruction using delayed postauricular skin flap applied to con-cha-type microtia.Methods From January 2011 to December 2021,a retrospective study of patients with concha-type microtia,whom we accepted and treated with the auricular reconstruction using delayed postauricular skin flap.The reconstruction was performed in three stages.The first stage is the procedure of delayed postauricular skin flap preparing and residual auricle dealing,the second stage is the au-togenous rib cartilage framework placed and covered with the delayed postauricular skin flap and a postauricular fascial flap which is cov-ered by autologous medium-thickness skin graft,and the third stage involved modification of the reconstructed ear.Results There are a total of 52 cases,of which 46 have completed the third stage surgery and 6 have completed the second stage surgery.All the surgical inci-sions were primary healing,without infection and necrosis.Follow up observation for six months after surgery,there were 32 of them satis-fied,20 basic satisfied,and no one dissatisfied.Conclusion The auricular reconstruction using delayed postauricular skin flap is a good supplement to the treatment for concha-type microtia.
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