摘要
Abstract
Objective To study clinical effect in patients with external auditory canal defects by pedicled flaps repair. Methods 50 patients with skin defects in the ear canal treated in our hospital from March 2016 to March 2017 were selected as the research objects, and the pedicle skin flap was used to repair. The length of the affected side and the healthy lateral ear, the width of the ear, the temperature of the concha cavity, and the temperature of the auricle were compared. Results The skin flaps were survived in 50 cases. Follow-up for 3 months, the tumor had no recurrence, the external auditory canal had no stenosis, the skin color was good, and the appearance was satisfactory. There was no statistically significant difference in ear length and ear width between the defect side and healthy side of patient after surgery(P>0.05). After 1d, the ear concha temperature and temperature profile of the defect side was significantly lower than the healthy side, the difference was statistically significant(P<0.001). After 7d、14d,there were no statistically significant difference in the ear concha temperature and temperature profile between the defect side and healthy side(P>0.05). Satisfaction of doctors and patients were 86.0% and 90.0%, the difference was not statistically significant (P>0.05). Conclusion Pedicled flaps repair for the treatment of patients with external auditory canal defect effect was remarkable,the operation is simple, the postoperative scar is small, the donor area is concealed, the skin are close to the surrounding skin, and the postoperative appearance satisfaction is high. It can improve patient quality of life, is worth popularizing application in clinical.关键词
外耳道/皮肤缺损/皮瓣/修复Key words
external auditory canal/skin defect/flap/repair分类
医药卫生