耳部微血管皮瓣在鼻重建中的应用：美学与患者报告结局
Microvascular Flaps From the Ear in Nasal Reconstruction: Aesthetic and Patient-reported Outcomes.
文献信息
| PMID | 42707774 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Emma Romanowski |
| 作者单位 | From the Faculty of Medicine, University of Helsinki, Helsinki, Finland. |
| 期刊 | Plastic and reconstructive surgery. Global open |
| SCI 分区 | Q2 |
| IF | 2.1 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
背景： 本研究评估了在鼻重建中使用耳部微血管皮瓣后的美学结果和患者报告结局。
方法： 对2011年至2021年间接受耳部微血管皮瓣鼻重建的患者进行了回顾性队列研究。11名整形外科医生使用经过验证的观察者评定毁容量表以及评估鼻部形状和颜色及供区耳部外观的5点量表来评估术后照片。患者对重建鼻部的满意度使用FACE-Q鼻整形模块进行评估，对供区耳部的满意度使用6点量表进行评估。
结果： 共识别出28例接受显微外科耳部皮瓣的患者。16例患者重建了一个鼻亚单位，3例进行了全鼻重建。25例患者有可用的照片。外科医生评估重建鼻部的形状和颜色以及耳部形状为良好（中位评分分别为2 [IQR 2-3]；2 [IQR 1-2]和2 [IQR 1-3]），而面部毁容被评估为中度（中位评分3 [IQR 3-4]）。15例患者完成了问卷，报告对鼻部外观（中位评分60；IQR 54-65）和鼻孔（中位评分64；IQR 42-81）的满意度较高，耳部对称性可接受（中位评分2；IQR 1-3）。
结论： 耳部微血管皮瓣是复杂鼻重建的良好替代方案，通常可获得美学上有利的结果。
英文摘要
BACKGROUND: This study evaluates the aesthetic results and patient-reported outcomes following the use of microvascular flaps from the ear in nasal reconstruction.
METHODS: A retrospective cohort study was conducted on patients who underwent nasal reconstruction with a microvascular ear flap between 2011 and 2021. Eleven plastic surgeons evaluated postoperative photographs using the validated observer-rated disfigurement scale and 5-point scales assessing the shape and color of the nose and donor ear appearance. Patient satisfaction with the reconstructed nose was assessed with the FACE-Q rhinoplasty module and satisfaction with the donor ear with 6-point scales.
RESULTS: Twenty-eight patients with microsurgical ear flaps were identified. One nasal subunit was reconstructed in 16 patients and the total nose in 3. Photographs were available for 25 patients. The shape and color of the reconstructed nose, and the shape of the ear, were assessed as good by the surgeons (median scores 2 IQR 2-3]; 2 [IQR 1-2], and 2 [IQR 1-3], respectively), whereas facial disfigurement was assessed as moderate (median score 3 [IQR 3-4]). Fifteen patients completed the questionnaire, reporting high levels of satisfaction with the appearance of the nose (median score 60; IQR 54-65) and nostrils (median score 64; IQR 42-81), and acceptable symmetry of the ears (median score 2; IQR 1-3).
CONCLUSIONS: Microvascular flaps from the ear are a good alternative for complex nasal reconstruction, often yielding aesthetically favorable results.