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首页> 中文期刊> 《中国耳鼻咽喉颅底外科杂志》 >外鼻肿瘤术后局部皮肤缺损Ⅰ期皮瓣修复的两种方法

外鼻肿瘤术后局部皮肤缺损Ⅰ期皮瓣修复的两种方法

         
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摘要

Objective To introduce two kinds of flaps for one-stage repair of local skin defect after nasal tumor resection,and explore their effect for repair.The adopted flaps were the nasolabial fold wrapped perforator flap and the across-nasal bilobed skin flap.Methods Clinical data of 15 patients with local skin defect after tumor resection of external nose and repaired simultaneously with flaps were analyzed retrospectively.According to the location and size of skin defect,the flaps for repair were circumspectly designed.The nasolabial fold wrapped perforator flap was used to repair skin defect located at nasal alar and nasal dorsum in 9 cases,and the across-nasal bilobed skin flap was applied to glabellum defect in 6.Results All patients were followed up for 3 months to 1 year postoperatively.The flaps survived in all 15 cases with good blood circulation after operation.No obvious malformations or scar formation were observed in the nose and the surrounding skin.The color and size of the flaps were similar to those of recipient sites.Conclusion With advantages of reconstructing basic nasal contour,keeping structural integrity and maintaining the function of nose and facial appearance,the nasolabial fold wrapped perforator flap and the across-nasal bilobed skin flap are helpful to improve the aesthetic effect and advance the patients contentment as well as the quality of life.%目的 探讨在外鼻肿瘤术后局部皮肤缺损中Ⅰ期皮瓣修复的两种方法,而尖端折叠鼻唇皮瓣修补与眉间跨鼻双瓣修补,分析其临床疗效.方法 回顾性分析外鼻肿瘤切除术后,根据不同缺损部位选择不同的Ⅰ期修复方法.鼻翼及鼻背缺损用尖端折叠带蒂鼻唇沟皮瓣修复方法(9例),眉间缺损选择跨鼻皮瓣修复方法(6例).结果 15例患者术后随访3个月到1年,鼻部及周围皮肤无明显畸形,皮瓣均成活,血运好,皮瓣色泽红润、大小匹配,无明显瘢痕形成.结论 外鼻肿瘤切除后不同区域选择不同的修复方法,重建鼻部基本轮廓,保持鼻部及面部外形及结构的完整性,提高美学效果、患者对手术的满意度及术后的生活质量.

著录项

  • 来源
    《中国耳鼻咽喉颅底外科杂志》 |2017年第5期|435-438|共4页
  • 作者

    王秀; 张烽; 颜丙会; 陈伟; 许莉; 王秋萍; 江满杰;

  • 作者单位

    南京大学医学院临床学院南京军区总医院耳鼻咽喉头颈外科,江苏南京210002;

    南通市第三人民医院耳鼻咽喉科,江苏南通226000;

    南京大学医学院临床学院南京军区总医院耳鼻咽喉头颈外科,江苏南京210002;

    南京大学医学院临床学院南京军区总医院耳鼻咽喉头颈外科,江苏南京210002;

    南京大学医学院临床学院南京军区总医院耳鼻咽喉头颈外科,江苏南京210002;

    南京大学医学院临床学院南京军区总医院耳鼻咽喉头颈外科,江苏南京210002;

    南京大学医学院临床学院南京军区总医院耳鼻咽喉头颈外科,江苏南京210002;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 鼻部外科手术;
  • 关键词

    外鼻; 肿瘤; 手术; 修复; 皮瓣;

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