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.	陈召阳, 罗春材, 尚骁, 等. 数字化技术在耳廓再造中的应用进展. 中国修复重建外科杂志, 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, 张碧波, 等. 耳廓良性肿物切除及缺损修复 92 例临床分析. 中华耳科学杂志, 2018, 16(5): 676-680.
4.	罗静, 苏庚, 袁群芳. 带蒂皮瓣修复外耳道缺损疗效分析. 中国美容医学, 2018, 27(1): 71-73.
5.	唐举玉, 汪华侨, Hallock GG, 等. 关注皮瓣供区问题-减少皮瓣供区损害专家共识. 中华显微外科杂志, 2018, 41(1): 3-5.
6.	郭佩佩, 蒋海越. 获得性耳廓缺损的外科治疗进展. 中国修复重建外科杂志, 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.	杨大平, 韩雪峰, 郭铁芳. 耳后皮瓣血管的显微外科解剖学基础. 中国临床解剖学杂志, 2002, 30(3): 166-168.
9.	黄淑新, 姜宪, 崔哲洙. 耳后带蒂皮瓣在修复耳甲腔皮肤缺损中的应用. 中国耳鼻咽喉颅底外科杂志, 2018, 24(2): 173-175.
10.	常树森, 何春念, 金文虎, 等. 股前外侧皮瓣的供区并发症. 中华显微外科杂志, 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.	张林, 赵宇, 李小静, 等. 耳后皮瓣在外耳部分缺损的亚单位分区精准修复. 中华整形外科杂志, 2018, 34(8): 625-629.
13.	阳俊杰, 邓安春. 耳后区不同带蒂皮瓣修复外耳道及耳廓皮肤缺损的临床疗效观察. 重庆医学, 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. 两种带蒂皮瓣修复对耳郭、外耳道缺损的临床效果及手术方法分析. 中国美容整形外科杂志, 2017, 28(8): 492-494.
16.	Selçuk 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, 杨琳琳, 陈春丽, 等. 颞浅筋膜瓣结合头皮刃厚皮片移植修复耳廓再造术后软骨支架外露. 中国美容医学, 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. 陈召阳, 罗春材, 尚骁, 等. 数字化技术在耳廓再造中的应用进展. 中国修复重建外科杂志, 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, 张碧波, 等. 耳廓良性肿物切除及缺损修复 92 例临床分析. 中华耳科学杂志, 2018, 16(5): 676-680.
4. 罗静, 苏庚, 袁群芳. 带蒂皮瓣修复外耳道缺损疗效分析. 中国美容医学, 2018, 27(1): 71-73.
5. 唐举玉, 汪华侨, Hallock GG, 等. 关注皮瓣供区问题-减少皮瓣供区损害专家共识. 中华显微外科杂志, 2018, 41(1): 3-5.
6. 郭佩佩, 蒋海越. 获得性耳廓缺损的外科治疗进展. 中国修复重建外科杂志, 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. 杨大平, 韩雪峰, 郭铁芳. 耳后皮瓣血管的显微外科解剖学基础. 中国临床解剖学杂志, 2002, 30(3): 166-168.
9. 黄淑新, 姜宪, 崔哲洙. 耳后带蒂皮瓣在修复耳甲腔皮肤缺损中的应用. 中国耳鼻咽喉颅底外科杂志, 2018, 24(2): 173-175.
10. 常树森, 何春念, 金文虎, 等. 股前外侧皮瓣的供区并发症. 中华显微外科杂志, 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. 张林, 赵宇, 李小静, 等. 耳后皮瓣在外耳部分缺损的亚单位分区精准修复. 中华整形外科杂志, 2018, 34(8): 625-629.
13. 阳俊杰, 邓安春. 耳后区不同带蒂皮瓣修复外耳道及耳廓皮肤缺损的临床疗效观察. 重庆医学, 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. 两种带蒂皮瓣修复对耳郭、外耳道缺损的临床效果及手术方法分析. 中国美容整形外科杂志, 2017, 28(8): 492-494.
16. Selçuk 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, 杨琳琳, 陈春丽, 等. 颞浅筋膜瓣结合头皮刃厚皮片移植修复耳廓再造术后软骨支架外露. 中国美容医学, 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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