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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >The perichondrial cutaneous graft: a facial reconstructive option for the ages (ages 1 week to 94 years).
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The perichondrial cutaneous graft: a facial reconstructive option for the ages (ages 1 week to 94 years).

机译：软骨膜皮移植：适合年龄段（1周至94岁）的面部重建术。

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OBJECTIVES/HYPOTHESIS: The perichondrial cutaneous graft (PCCG) possesses unique characteristics that make them a propitious reconstructive option in facial plastic surgery. The PCCG is easily harvested from the conchal bowl. Notable characteristics are that it does not contract, unexcelled color match for resurfacing facial skin, and minimal donor site morbidity. This free graft frequently offers an expeditious solution to an otherwise more complicated reconstructive effort. STUDY DESIGN: Retrospective review of an academic otolaryngology and facial plastic surgery practice. METHODS:: Patients requiring head and neck reconstruction for cutaneous deficiencies were studied. The PCCG is harvested from the anterior conchal bowl. This is technically easy, and the perichondrium is tightly adherent to the dermis in this area. The donor site is closed by resecting a fenestra of conchal cartilage and rotating a posterior auricular interpolated island flap into the defect (the "flip-flop-flap"). The posterior auricular defect is easily closed in a linear fashion. The main outcome measures were cosmetic result, graft survival, donor site morbidity, and complications. RESULTS: There are 406 PCCGs in our series. Patients ranged in age from 7 days to 94 years. There were 170 grafts used for trauma and 236 used for reconstruction after skin cancer resection. Over the past 30 years in observing these grafts, there are no contractions noted in infants and children, growth with maturity is noteworthy. Cosmesis is excellent and in most cases superior to other skin grafting techniques. We have had four total failures and six partial losses of less than 30% for the PCCG. All complete failures were in patients with a smoking history. CONCLUSIONS: The PCCG is a very reliable flap for reconstruction of facial defects. It has been used in elderly and heavy smoking patients with minimal complications, attesting to its viability. The graft provides excellent cosmesis and it is an expeditious alternative to commonly used local flaps. It is especially useful in pediatric patients because the graft actually expands with growth. This is in contrast to the disadvantages of split thickness and full thickness skin grafts that predictably contract with maturity. Local flaps often lack adequate laxity for common implementation and make the PCCG a propitious choice in the pediatric patient.
机译：目的/假设：软骨膜皮肤移植物（PCCG）具有独特的特征，使其成为面部整形外科手术中的有利重建选择。 PCCG很容易从conconal碗中收获。显着的特征是它不会收缩，使面部皮肤重现的颜色匹配效果极佳，并且供体部位的发病率极低。这种游离的移植物经常为其他复杂的重建工作提供快速解决方案。研究设计：回顾性研究耳鼻喉科和面部整形外科实践。方法：研究了因皮肤缺陷需要头颈部重建的患者。从前共生碗中收获PCCG。这在技术上很容易，并且软骨膜与该区域的真皮紧密粘附。通过切除共生软骨的窗孔并将后耳内插岛状皮瓣旋转到缺损处来封闭供体部位（“ Flip-flop-flap”）。后耳廓缺损容易以线性方式闭合。主要结局指标是美容结局，移植物存活率，供体部位发病率和并发症。结果：我们的系列中有406个PCCG。患者的年龄从7天到94岁不等。皮肤癌切除术后有170处用于创伤的移植物和236处用于重建的移植物。在过去的30年中，观察这些移植物时，婴儿和儿童均未见宫缩，成熟时的生长值得注意。美容很出色，并且在大多数情况下优于其他皮肤移植技术。对于PCCG，我们已经发生了四次总故障，其中六次部分损失不到30％。所有完全失败的患者都是有吸烟史的患者。结论：PCCG是修复面部缺损的非常可靠的皮瓣。它已被用于老年和重度吸烟患者，并发症少，证明了其可行性。移植物具有出色的美容效果，是常用的局部皮瓣的快速替代方法。它在儿科患者中特别有用，因为移植物实际上会随着生长而扩展。这与可预期的随着成熟而收缩的分开厚度和全厚度皮肤移植物的缺点相反。局部皮瓣通常缺乏足够的松弛度，无法通用实施，因而使PCCG成为小儿患者的有利选择。

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