摘要
目的探讨鼻唇沟皮瓣修复各类鼻部分缺损的方法。方法本组共11例。其中肿瘤切除术后致鼻部分缺损7例,鼻部皮内痣感染1例,鼻外伤致鼻部分缺损3例。均采用鼻唇沟皮瓣修复。其中1例鼻外伤后致鼻小柱、鼻尖及双侧鼻翼缺损,以双侧鼻唇沟皮瓣修复,其余均以单侧鼻唇沟皮瓣修复。结果本组8例同期修复,肿瘤切除后缺损直径为1.5～2.5cm术后一期愈合。3例外伤性鼻部分缺损同期修复1例,一期愈合;2例二期修复后延迟愈合。结论单侧鼻唇沟皮瓣能满足直径在2.5cm左右缺损修复的需要,对直径大于3cm面积的缺损,可考虑双侧鼻唇沟皮瓣。
Objective To explore the reconstruction of nasal defects through transposition of nasolabial groove flaps with pedicel. Method Eleven cases of nasal defects underwent the surgical operations through transposition of nasolabial groove flaps with pedicel, among which there were 5 cases of basal cell carcinoma,1 case of well-differentiated squamous carcinoma at nasal tip, 1 case of cylindroma;other four cases were 1 case of infectious intradermal nevus and 3 cases of traumatic defects of noses. Except that one case was defects of bilateral nasal wings, nasal columella and tip, was reconstructed with transposition of bilateral nasolabial groove flaps with pedicel; the nasal defects in other 10 cases were all reconstructed with transposition of unilateral nasalabial groove flap with pedicel. Result All the defects of noses in 8 cases of the tumours resected first(including one case of infectious intradermal nevus), whose diameter of defective area of nose between 1.5-2.5cm, were reconstructed by primary repair and were first intention, the traumatic defect of nose in 1 case was reconstructed at once after trauma, and traumatic nasal defects in 2 cases were treated by staged neoplasty. Conclusion The defects of nose can be reconstructed through transposition of unilateral nasolabial groove flap with pedicel only for the diameter of defective area of nose being about 2.5cm, but repairing the defect of bilateral nasal wings, nasal columella and tip should require through transposition of bilateral nasolabial groove flaps with pedicel when the diameter of defective area of nose being over 3cm.
出处
《实用医药杂志》
2004年第8期696-697,共2页
Practical Journal of Medicine & Pharmacy
关键词
鼻唇沟
皮瓣
鼻缺损
Nasallabial groove Skin flaps Nasal defect
