Chondrocutaneous Advancement Flap for Helical Defects-A Case Report Using the Antia-Buch Procedure

以皮膚併軟骨皮瓣之前進方法覆蓋耳朵輪廓缺損

陳俊生(Chiun-Sheng Chen) ； 李經維(Jing-Wei Lee) ； 邱浩遠(Haw-Yen Chiu) ； 謝式洲(Shyh-Jou Shieh)

《中華民國整形外科醫學會雜誌》 13卷2期 (2004/06) Pp. 119-124

https://doi.org/10.7096/JPSA.200406.0119

摘要

耳朵是一個很特殊的解剖構造。對於外科醫師而言，要彌補它因腫瘤切除或創傷所造成的缺損，是個極大的挑戰。解決外耳輪廓缺損的方法，真是琳瑯滿目。為了完成這項工程，不但要充分瞭解耳朵之基本構造而且擁有好的手術技巧，以達到自然又吸引人的耳朵。但對於不同的外耳輪廓缺損，應該依其缺損程度，用不同的覆蓋方法加以修補，以達到最佳外觀及便利性。所選擇之方法，是根據缺損大小及所剩餘下來的周圍軟組織來決定。文獻上，對於外耳輪廓上三分之一的缺損，有數種方法被提出來。但對於較小的外耳輪廓缺損，以皮膚併軟骨皮瓣之前進方法來覆蓋，可算是適當方法之一。本篇報告是以皮膚併軟骨皮瓣之前進方法覆蓋耳朵輪廓缺損，其結果在外觀方面令人滿意。其他相關手術方式亦被提出來討論，以印證這個方法是不錯的選擇。

並列摘要

The ear is a complex structure with its unique anatomy. Defects caused by tumor ablation and traumatic injuries pose great challenges to the surgeon because a variety of options are available to reconstruct the disfigured ear. The task requires not only a through knowledge of the ear's anatomy but also a sound surgical technique so that a natural and aesthetically appealing ear may be created. However, only a few methods are appropriate for each particular defect. The method chosen is based on the defect size and the availability of the remaining local skin. Several options have been proposed for the reconstruction of the upper third defects. Of these options, the Antia-Buch chondrocutaneous advancement flap is adequate for small helical rim defects. Here we present a case with a marginal defect of the upper third of the helix of a patient's left ear in which the chondrocutaneous advancement flap of Antia and Buch was utilized to cover the defect. The result was acceptable and the satisfaction of the patient was reached. Other methods of reconstruction for deformed ear of this category are put into discussion to justify our choice of the Antia and Buch procedure for the defect of this case.

並列關鍵字

chondrocutaneous advancement flap ； helical defect