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首页> 外文期刊>JAMA facial plastic surgery >Full-Thickness Skin Graft Overlying a Separately Harvested Auricular Cartilage Graft for Nasal Alar Reconstruction
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Full-Thickness Skin Graft Overlying a Separately Harvested Auricular Cartilage Graft for Nasal Alar Reconstruction

机译：用于鼻部重建的全厚皮肤移植物覆盖分别收获的耳廓软骨移植物

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摘要

Objective: To evaluate the aesthetic and functional outcomes of a full-thickness skin graft and a separately harvested auricular cartilage graft for nasal alar defects created by Mohs micrographic surgery. Design: Twenty patients with deep Mohs micro-graphic surgery defects of the nasal ala who underwent reconstruction with a full-thickness skin graft and an auricular cartilage graft were prospectively studied at a single tertiary care institution between 2010 and 2011 in a non-randomized, nonblinded study. An ordinal 5-point Likert scale evaluation of overall outcomes was performed by 4 independent surgeon raters. Results: The mean outcome for use of the full-thickness skin and auricular cartilage graft construct was a score of 2.3 on a scale of 1 through 5, with 1 being excellent and 5 being poor. The mean duration of follow-up was 6 months, with a range of 5 weeks to 23 months. There were no clinically meaningful losses of constructs in the patients studied. Conclusion: A full-thickness skin graft and a separately harvested auricular cartilage graft are valuable and reliable tools for reconstructing deep nasal alar defects that require support to prevent alar retraction or collapse, particularry-whena single-stage procedure is preferred or necessary because of medical comorbidities.
机译：目的：评价全厚的皮肤移植物的审美和功能结果和用于莫赫氏显微手术创建的鼻腔缺陷的单独收获的耳廓软骨移植物。设计：在2010年至2011年间，在非随机化的单一第三级护理机构前期研究了20名患有全厚度皮肤移植和耳廓软骨移植物的鼻部Mohs微观图形手术缺陷的二十次。无粘性研究。通过4个独立的外科医生评估者进行整个结果的顺序5点李克特规模评估。结果：使用全厚皮肤和耳软骨移植物构建体的平均结果是1.3的分数为1到5，1个优异，5个差。随访的平均持续时间为6个月，范围为5周至23个月。在研究的患者中没有临床上有意义的损失。结论：全厚的皮肤移植物和单独收获的耳廓软骨移植物是重建深层鼻部缺陷的有价值且可靠的工具，需要支撑，以防止南部缩回或崩溃，因此由于医疗而是优选或必要的单级程序合并症。

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