Objective: To investigate the effectiveness of the V-Y advanced retroauricular flap for repairing mild and moderate earlobe defect.
Methods: Between September 2014 and July 2015, V-Y advanced retroauricular flap was used to repair earlobe defect in 6 patients. There were 1 male and 5 females, aged 18 to 30 years (mean, 23 years). The left earlobe was involved in 2 cases and the right earlobe in 4 cases, including 2 cases of congenital earlobe defect and 4 cases of secondary earlobe defect; 1 patient had congenital deformity of upper auricle. According to self-made criteria for earlobe defect, 5 cases were rated as mild defect and 1 case as moderate defect.
Results: All incisions healed at the first stage, and the flaps survived smoothly. The patients were followed up 3 to 12 months, with an average of 9 months. The reconstructed earlobes had natural size and shape, and smooth curve; the texture and color were close to the adjacent skin. The effectiveness was satisfactory.
Conclusions: The V-Y advanced retroauricular flap for repairing mild and moderate earlobe defect can achieve natural earlobe and aesthetic plastic effectiveness, so it is a safe and ideal earlobe reconstruction method.
目的: 探讨采用耳后V-Y推进法修复轻中度耳垂缺损的疗效。.
方法: 2014年9月-2015年7月，采用耳后V-Y推进法修复6例耳垂缺损患者。男1例，女5例；年龄18～30岁，平均23岁。左侧2例，右侧4例。先天性耳垂缺损2例；继发性耳垂缺损4例，其中1例伴上耳廓先天性畸形。根据自定耳垂缺损分度标准：轻度缺损5例，中度缺损1例。.
结果: 术后切口均Ⅰ期愈合，皮瓣顺利成活。6例患者均获随访，随访时间3～12个月，平均9个月。再造耳垂大小、形态较自然，质地、色泽与周缘接近，曲线弧度流畅。患者对术后效果较满意。.
结论: 采用耳后V-Y推进法修复轻中度耳垂缺损，可以获得自然的耳垂形态，是一种安全、理想的耳垂再造方法，可达到矫饰性修复与重建的目的。.
Keywords: Earlobe defect; Repair and reconstruction; V-Y advanced retroauricular flap.