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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Nasal alar reconstruction: a critical analysis using melolabial island and paramedian forehead flaps.
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Nasal alar reconstruction: a critical analysis using melolabial island and paramedian forehead flaps.

机译：鼻翼重建：使用me唇岛和额中前额皮瓣的关键分析。

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OBJECTIVES: To qualitatively and quantitatively describe aesthetic and functional outcomes following Mohs ablative surgery involving the alar subunit, using a paramedian or subcutaneous melolabial island flap. STUDY DESIGN: Retrospective review. METHODS: A single surgeon's results in 38 consecutive patients were analyzed. Objective measures (alar rim thickness, donor scar width and length), subjective assessment (seven aesthetic parameters) by three academic otolaryngologists, and patient satisfaction questionnaires were evaluated. Student t test was used to ascertain statistically significant differences between reconstructive groups. RESULTS: Questionnaire results demonstrate a significant (P = .026) difference in donor site rating favoring melolabial group responses. Objective scar measurements and subjective ratings of textural quality and alar notching also favored melolabial reconstructions. CONCLUSIONS: More favorable aesthetic and functional outcomes are seen with single subunit cutaneous alar defects reconstructed with the melolabial island flap than with deep composite or extensive unilateral nasal defects reconstructed with the paramedian forehead flap.
机译：目的：定性和定量地描述在莫氏消融手术中涉及到的阿拉尔亚单位后，使用半正中或皮下盂唇岛皮瓣的美学和功能结果。研究设计：回顾性审查。方法：分析了38名连续患者的单人手术结果。评估了三名学术耳鼻喉科医师的客观指标（指缘厚度，供体疤痕宽度和长度），主观评估（七个美学参数）以及患者满意度问卷。学生t检验用于确定重建组之间的统计学差异。结果：问卷调查结果表明，在供体部位评分方面存在显着（P = .026）差异，有利于回声组的反应。客观的疤痕测量和质地质量的主观评定以及阿拉尔切口也有利于盂唇重建。结论：与经前额中皮瓣重建的深部复合或广泛的单侧鼻骨缺损相比，经唇唇岛状皮瓣重建的单个亚基皮肤阿拉尔缺损具有更好的美学和功能效果。

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