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首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >The trap door flap: A reliable, reproducible method of anterior pinna reconstruction
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The trap door flap: A reliable, reproducible method of anterior pinna reconstruction

机译：活板门翻板：可靠，可重复的前耳廓重建方法

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Introduction Resection of skin cancers of the conchal fossa and anti-helical rim presents a challenging reconstructive problem. A full thickness skin graft is often used following excision of the cartilage underlying the lesion. Colour mismatch, a contour defect and a donor site scar are potential drawbacks to this method of reconstruction. The postauricular trap door flap offers a superior option for these defects. Aims This study aims to assess the reliability and outcomes of the trap door flap for defects of the anterior surface of the pinna. Methods A retrospective review of all trap door flaps carried out in Galway University Hospital was carried out. Charts were reviewed in order to examine operative notes and assess for any complications and length of follow up. Results 45 Patients were operated on by a single surgeon. The age range was 61-93 years. The majority of lesions excised were from the conchal area with 6 defects predominantly involving the scapha. No partial or complete flap loss occurred. 2 patients required further excision due to an incomplete margin and a local recurrence respectively. Follow up ranged from 3 months to 4 years with excellent cosmetic results were achieved in all cases with no scar issues at the flap or donor sites. Conclusion The trap door flap is an excellent method of conchal reconstruction. It is reliable and reproducible with no flap loss demonstrated in our series of 45 patients. Large defects can be reconstructed with this flap and the cosmetic result in terms of colour and contour, as well as a hidden donor site scar, make this a superior option to a full thickness skin graft.
机译：引言切除共生窝和抗螺旋边缘的皮肤癌是一个具有挑战性的重建问题。在切除病变部位的软骨后，通常会使用全厚度的皮肤移植物。颜色不匹配，轮廓缺陷和施主部位疤痕是这种重建方法的潜在缺陷。耳后活板门翻板为这些缺陷提供了更好的选择。目的这项研究旨在评估活板门瓣对耳廓前表面缺陷的可靠性和结果。方法对高威大学医院所有活检门的翻板进行回顾性回顾。检查图表以检查手术记录并评估并发症和随访时间。结果45名患者由一名外科医生进行手术。年龄范围是61-93岁。切除的大部分病灶来自汇聚区，有6个主要累及后the的缺损。没有发生部分或完全的皮瓣丢失。 2例患者由于边缘不完全和局部复发分别需要进一步切除。随访时间为3个月至4年，在所有情况下均取得了优异的美容效果，且皮瓣或供体部位均无疤痕。结论活板门翻板是一种出色的共生重建方法。它可靠且可重现，在我们的45例患者系列中均未显示皮瓣丢失。使用该皮瓣可以重建较大的缺损，并且在颜色和轮廓以及隐藏的供体部位疤痕等方面的美容效果，使其成为全厚度皮肤移植的绝佳选择。

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