摘要
目的 介绍应用局部或邻位皮瓣修复鼻尖部缺损创面的方法和经验。方法 在遵循鼻亚单位组成的美学原则基础上，根据鼻尖部创面的大小、形状及供区组织可利用情况，分别选择相应的局部或邻位皮瓣（如额鼻皮瓣、双叶皮瓣、改良菱形皮瓣、鼻唇沟皮瓣及额正中皮瓣等）修复创面，供区直接缝合。结果 手术治疗共83例，创面面积最小约0．6cm×0．6cm，最大约2．5cm×2．5cm。术后皮瓣全部成活，无明显并发症发生。其中76例随访1～36个月，鼻外形轮廓较好，修复组织与周围皮肤相匹配，肿瘤患者未见复发。结论 遵循鼻亚单位美学原则，应用局部皮瓣能修复鼻尖部中等以上创面，且色泽、质地、轮廓等方面能达到较好的匹配和协调。
Objective To introduce the experience of reconstruction of nasal tip defect, which could obtain good functional and aesthetic results. Methods Based on the aesthetic subunit principle, according to the size, shape, depth of nasal tip defect, and the conditions of surrounding skin, homologous local flap （include： frontonasal flap, bilobed flap, nasolabial flap, reforming rhomboid flap and forehead flap, etc. ） was designed to cover the defect wound. The secondary defect of donor area was directly sutured. Results A total of 83 patients with nasal tip defect were treated by local flap transfers. The area of the defect ranged between 0. 6 × 0.6 cm and 2.5 cm × 2.5 cm. The nasal tip defect was successfully closed in all patients, and all flaps survived well without obvious complications. 76 out of these 83 patients were available for follow-up from 1 to 36 months. The repaired tissue was in good match with surrounding tissue, with nice nasal contour, and cosmetic results were satisfactory. No tumor recurrence occurred. Conclusions Based on the nasal aesthetic subunit principle, local flap could be used to reconstruct the nasal tip defect below 2.5 cm × 2.5 cm, and obtain good color, contour and texture in match with the surrounding skin. Cosmetic results were satisfactory.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2007年第5期378-380,共3页
Chinese Journal of Plastic Surgery
