耳廓的重建由于其难以接近和有限的组织灵活性而带来了挑战;但是,文献中没有关于该解剖部位应采用哪种重建技术的建议。这篇系统的综述旨在描述和比较该地区皮肤肿瘤外科手术后在耳甲碗重建中使用的重建技术。关于他们的并发症和美学结果。在这样做的时候,我们的目标是确定最适合的重建程序(S)的conchal碗。搜索的六个数据库(PubMed,Scopus,WebofScience,奥维德,SciELO,和CENTRAL)产生了12项符合条件的研究,这些研究探索了旋转门瓣,分裂厚度皮肤移植物(STSG),全层皮肤移植物(FTSG),第二个意图愈合,耳前易位皮瓣,皮下椎弓根移植物,和其他局部皮瓣。结果的定性综合得出结论,旋转门瓣可能是耳廓外耳的首选重建程序,皮肤癌切除后.坏死的风险很低,感染,术后出血,以及出色的美学效果。STSG可以用作替代方案。尽管如此,由于一些研究的样本量小,偏倚风险高,必须对此进行进一步调查。
Reconstruction of the auricular concha poses a challenge due to its difficult access and limited tissue flexibility; however, there are no recommendations in the literature on which reconstructive technique should be favored for this anatomical site. This systematic
review intends to describe and compare the reconstructive techniques used in conchal bowl reconstruction following cutaneous oncologic surgery of this region, with regard to their complications and aesthetic results. In doing so, we aim to identify the best suited reconstructive procedure(s) for the conchal bowl. The six databases searched (PubMed, Scopus, Web of Science, Ovid, SciELO, and CENTRAL) yielded twelve eligible studies that explored the revolving door flap, split-thickness skin grafts (STSG), full-thickness skin grafts (FTSG), second intention healing, the preauricular translocation flap, subcutaneous pedicle grafts, and other local flaps. Qualitative synthesis of the results concluded that the revolving door flap could be the reconstructive procedure of choice for the auricular concha, following skin cancer excision. It has a low risk of necrosis, infection, and postoperative hemorrhage, as well as excellent aesthetic outcomes. STSG may be used as an alternative. Nonetheless, due to the low sample size and the high risk of bias in some studies, further investigations must be conducted on this subject.