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耳廓断离是罕见的,企图将断离的耳廓作为复合移植物原位缝合,几乎肯定导致完全失败。而保存软骨支架埋入皮下,然后再作二期再造的操作费时,其效果与应用肋软骨移植一样,不能令人满意。作者报告1例左耳廓完全撕脱,通过显微血管吻合再植成功。患者因摩托车事故,左耳廓于外耳道口水平撕脱,耳屏软骨及耳甲软骨的大部缺损,但耳轮、耳舟及对耳屏软骨均存在。外被皮肤虽受一定程度挤压,但皮肤与软骨之附着尚可靠,入院时局部缺血时间总共3.5小时,其中3小时在低温下保
Auricle detachment is rare, attempting to sever the auricle as a composite graft in situ, almost certainly lead to complete failure. The preservation of the cartilage scaffold embedded in the skin, and then make the second phase of re-operation of the operation costs, the effect and the application of costal cartilage transplantation, not satisfactory. The authors reported a complete avulsion of the left auricle and successful replantation by microvascular anastomosis. Patients due to motorcycles, the left auricle at the level of the external auditory meatus avulsion, tragus cartilage and most of the cartilage defects, but the ear wheel, ear boat and tragus cartilage are present. Although the skin was squeezed to some extent, but the skin and the attachment of cartilage is still reliable, ischemic time on admission a total of 3.5 hours, of which 3 hours at low temperature Paul