Repair of skin and soft tissue defects of auricle and donor site with relay flap_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CHANG Shusen ,  TANG Xiujun , WEI Zairong , WU Bihua , WANG Bo , JIN Wenhu , CHEN Wei , LI Hai , ZHANG Ziyang

Department of Burn Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563003, P.R.China;

Corresponding?author：

TANG Xiujun, Email: xiujunsszx@163.com

Keywords：

Auricle repair; relay flap; posterior auricular artery; soft tissue defect

DOI：

10.7507/1002-1892.201807141

Video：

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Objective To investigate the effectiveness of relay flap on repairing skin and soft tissue defect of auricle and donor site. Methods Between May 2014 and January 2016, 10 patients with auricular tumor were repaired by relay flap. There were 4 males and 6 females with an average age of 35 years (range, 21-69 years). There were basal cell carcinoma in 2 cases, pigmented nevus in 3 cases, papilloma in 4 cases, and Bowen’s disease in 1 case. The size of the residual wound after tumor resection ranged from 1.1 cm×1.0 cm to 2.3 cm×1.7 cm. The superficial temporal artery posterior auricular perforator flap was used to repair the auricle defect wound. The size of flap ranged from 1.5 cm×1.4 cm to 2.8 cm×2.0 cm. The first donor site was repaired with the posterior auricular artery perforator propulsive flap. The size of flap ranged from 4.0 cm×2.0 cm to 7.5 cm×3.0 cm. The wound of the second donor site was sutured directly at the first stage. Results All the flaps survived. The donor and recipient sites healed by first intention. The patients were followed up 10-28 months, with an average of 14.2 months. The appearance of reconstructed auricle was satisfactory, and the tumor had no recurrence. The appearance, color, texture, and thickness of the flaps were basically consistent with the recipient site, without obvious scar, traction deformity, or obvious abnormal sensation. Conclusion The relay flap has advantages of reliable blood supply, the simple operation method, the concealed donor site, which is a good choice to repair the skin and soft tissue defect of auricle and donor site.

Citation： CHANG Shusen, TANG Xiujun, WEI Zairong, WU Bihua, WANG Bo, JIN Wenhu, CHEN Wei, LI Hai, ZHANG Ziyang. Repair of skin and soft tissue defects of auricle and donor site with relay flap. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(1): 66-69. doi: 10.7507/1002-1892.201807141 Copy

1.	陳召陽, 羅春材, 尚驍, 等. 數字化技術在耳廓再造中的應用進展. 中國修復重建外科雜志, 2017, 31(9): 1135-1140.
2.	Hénoux M, Espitalier F, Hamel A, et al. Vascular supply of the auricle: anatomical study and applications to external ear reconstruction. Dermatol Surg, 2017, 43(1): 87-97.
3.	姚琳莉, 喻璐, 張碧波, 等. 耳廓良性腫物切除及缺損修復 92 例臨床分析. 中華耳科學雜志, 2018, 16(5): 676-680.
4.	羅靜, 蘇庚, 袁群芳. 帶蒂皮瓣修復外耳道缺損療效分析. 中國美容醫學, 2018, 27(1): 71-73.
5.	唐舉玉, 汪華僑, Hallock GG, 等. 關注皮瓣供區問題-減少皮瓣供區損害專家共識. 中華顯微外科雜志, 2018, 41(1): 3-5.
6.	郭佩佩, 蔣海越. 獲得性耳廓缺損的外科治療進展. 中國修復重建外科雜志, 2018, 32(9): 1218-1222.
7.	Shokrollahi K, Taylor JP, Le Roux CM, et al. The postauricular fascia: classification, anatomy, and potential surgical applications. Ann Plast Surg, 2014, 73(1): 92-97.
8.	楊大平, 韓雪峰, 郭鐵芳. 耳后皮瓣血管的顯微外科解剖學基礎. 中國臨床解剖學雜志, 2002, 30(3): 166-168.
9.	黃淑新, 姜憲, 崔哲洙. 耳后帶蒂皮瓣在修復耳甲腔皮膚缺損中的應用. 中國耳鼻咽喉顱底外科雜志, 2018, 24(2): 173-175.
10.	常樹森, 何春念, 金文虎, 等. 股前外側皮瓣的供區并發癥. 中華顯微外科雜志, 2018, 41(1): 101-104.
11.	Zhang YZ, Li YL, Yang C, et al. Reconstruction of the postauricular defects using retroauricular artery perforator-based island flaps: anatomical study and clinical report. Medicine, 2016, 95(37): e4853.
12.	張林, 趙宇, 李小靜, 等. 耳后皮瓣在外耳部分缺損的亞單位分區精準修復. 中華整形外科雜志, 2018, 34(8): 625-629.
13.	陽俊杰, 鄧安春. 耳后區不同帶蒂皮瓣修復外耳道及耳廓皮膚缺損的臨床療效觀察. 重慶醫學, 2016, 45(1): 108-110.
14.	Al-Qattan MM, Al-Arfaj N. The postauricular fasciocutaneous flap with an adipofascial extension: A case report. Int J Surg Case Rep, 2016, 29: 165-167.
15.	丁志琴, 何丕. 兩種帶蒂皮瓣修復對耳郭、外耳道缺損的臨床效果及手術方法分析. 中國美容整形外科雜志, 2017, 28(8): 492-494.
16.	Sel?uk CT, Durgun M, Bozkurt M, et al. The reconstruction of full-thickness ear defects including the helix using the superior pedicle postauricular chondrocutaneous flap. Ann Plast Surg, 2014, 72(2): 159-163.
17.	王江允, 楊琳琳, 陳春麗, 等. 顳淺筋膜瓣結合頭皮刃厚皮片移植修復耳廓再造術后軟骨支架外露. 中國美容醫學, 2017, 26(12): 34-36.
18.	Hu J, Zhang Q, Zhang Y, et al. Partial helix defect repair by use of postauricular advancement flap combined with ipsilateral conchal cartilage graft. J Plast Reconstr Aesthet Surg, 2014, 67(8): 1045-1049.

1. 陳召陽, 羅春材, 尚驍, 等. 數字化技術在耳廓再造中的應用進展. 中國修復重建外科雜志, 2017, 31(9): 1135-1140.
2. Hénoux M, Espitalier F, Hamel A, et al. Vascular supply of the auricle: anatomical study and applications to external ear reconstruction. Dermatol Surg, 2017, 43(1): 87-97.
3. 姚琳莉, 喻璐, 張碧波, 等. 耳廓良性腫物切除及缺損修復 92 例臨床分析. 中華耳科學雜志, 2018, 16(5): 676-680.
4. 羅靜, 蘇庚, 袁群芳. 帶蒂皮瓣修復外耳道缺損療效分析. 中國美容醫學, 2018, 27(1): 71-73.
5. 唐舉玉, 汪華僑, Hallock GG, 等. 關注皮瓣供區問題-減少皮瓣供區損害專家共識. 中華顯微外科雜志, 2018, 41(1): 3-5.
6. 郭佩佩, 蔣海越. 獲得性耳廓缺損的外科治療進展. 中國修復重建外科雜志, 2018, 32(9): 1218-1222.
7. Shokrollahi K, Taylor JP, Le Roux CM, et al. The postauricular fascia: classification, anatomy, and potential surgical applications. Ann Plast Surg, 2014, 73(1): 92-97.
8. 楊大平, 韓雪峰, 郭鐵芳. 耳后皮瓣血管的顯微外科解剖學基礎. 中國臨床解剖學雜志, 2002, 30(3): 166-168.
9. 黃淑新, 姜憲, 崔哲洙. 耳后帶蒂皮瓣在修復耳甲腔皮膚缺損中的應用. 中國耳鼻咽喉顱底外科雜志, 2018, 24(2): 173-175.
10. 常樹森, 何春念, 金文虎, 等. 股前外側皮瓣的供區并發癥. 中華顯微外科雜志, 2018, 41(1): 101-104.
11. Zhang YZ, Li YL, Yang C, et al. Reconstruction of the postauricular defects using retroauricular artery perforator-based island flaps: anatomical study and clinical report. Medicine, 2016, 95(37): e4853.
12. 張林, 趙宇, 李小靜, 等. 耳后皮瓣在外耳部分缺損的亞單位分區精準修復. 中華整形外科雜志, 2018, 34(8): 625-629.
13. 陽俊杰, 鄧安春. 耳后區不同帶蒂皮瓣修復外耳道及耳廓皮膚缺損的臨床療效觀察. 重慶醫學, 2016, 45(1): 108-110.
14. Al-Qattan MM, Al-Arfaj N. The postauricular fasciocutaneous flap with an adipofascial extension: A case report. Int J Surg Case Rep, 2016, 29: 165-167.
15. 丁志琴, 何丕. 兩種帶蒂皮瓣修復對耳郭、外耳道缺損的臨床效果及手術方法分析. 中國美容整形外科雜志, 2017, 28(8): 492-494.
16. Sel?uk CT, Durgun M, Bozkurt M, et al. The reconstruction of full-thickness ear defects including the helix using the superior pedicle postauricular chondrocutaneous flap. Ann Plast Surg, 2014, 72(2): 159-163.
17. 王江允, 楊琳琳, 陳春麗, 等. 顳淺筋膜瓣結合頭皮刃厚皮片移植修復耳廓再造術后軟骨支架外露. 中國美容醫學, 2017, 26(12): 34-36.
18. Hu J, Zhang Q, Zhang Y, et al. Partial helix defect repair by use of postauricular advancement flap combined with ipsilateral conchal cartilage graft. J Plast Reconstr Aesthet Surg, 2014, 67(8): 1045-1049.

Chinese Journal of Reparative and Reconstructive Surgery

Repair of skin and soft tissue defects of auricle and donor site with relay flap

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