摘要
目的:探讨鼻唇沟带蒂皮瓣在修复鼻翼恶性肿瘤术后缺损的临床实用性和可行性。方法:对11例鼻翼恶性肿瘤患者行手术切除肿瘤,并根据鼻唇沟面部血供特点及缺损区大小设计出需要修复区域的长度、角度和体积,设计鼻唇沟面部带蒂皮瓣。经鼻侧移至缺损区修复鼻翼缺损区。结果:所有患者术后伤口均Ⅰ期愈合,皮瓣全部成活,血液循环良好,色泽良好,供区无明显瘢痕。术后随访1～5年,肿瘤无复发,外鼻美容修复效果满意。结论:鼻唇沟带蒂皮瓣血运丰富,易成活,可提供足够的组织量用以修复较大面积鼻翼缺损,且血管蒂长,转移灵活,操作简便,供区无明显瘢痕。鼻唇沟带蒂皮瓣是修复鼻翼恶性肿瘤切除术后较大面积缺损的最佳皮瓣。
Objective：To Discuss nasolabial pedicle flap in the repair of facial malignant asal nasi resection defect after clinical practicality and feasibility.Method：Eleven cases of patients with asal nasi surgery in patients with malignant tumor resection.And in accordance with the characteristics of the blood supply of the nasolabial fold area and the size of design defects to be repaired region length,angle and size,design nasolabial flaps pedicled flap face.Go through the nasal alar defect repair defects.Result：All patients were Ⅰ wound healing,skins all survived,good blood circulation,good color and no obvious scar area.One year postoperative follow-up to 5 years without recurrence of the tumor,the effect of external nose satisfied with the cosmetic restoration.Conclusion：The nasolabial flap pedicled facial blood rich and easy to survive,organizations can provide sufficient volume to the repair of larger nasal defects,vascular pedicle length,the transfer of a flexible,easy to operate and no obvious scar area.Nasolabial pedicle flap to repair the face of larger asal nasi defects after resection of malignant tumors can choose the best skin.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2010年第8期348-349,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
鼻翼肿瘤
带蒂皮瓣
缺损
Ⅰ期修复
alae nasi neoplasms
pedicled flap
defect
Ⅰ period of repair
