以上唇动脉为蒂的逆行鼻唇沟瓣修复鼻眶下区缺损的临床研究

发布时间：2018-04-24 08:35

本文选题：鼻 + 动脉　；参考：《重庆医学》2014年07期

【摘要】：目的探讨以上唇动脉为蒂的逆行鼻唇沟瓣修复鼻眶下区缺损的手术方法和疗效。方法 2006年9月至2013年5月,收治鼻眶下缺损患者13例。所有患者为肿瘤切除术鼻眶下区缺损,病程为2个月至28年。缺损范围为2.0cm×1.2cm~4.0cm×3.6cm。术中采用同侧上唇动脉为蒂的逆行鼻唇沟瓣修复缺损,其中10例为带蒂皮瓣,3例为轴型岛状皮瓣;皮瓣切取范围与缺损大小相近。供区直接对位缝合。结果所有皮瓣全部成活,供、受区切口全为Ⅰ期愈合。4例因皮瓣蒂部略为臃肿,术后6~12个月后行皮瓣修整术。13例患者均电话随访,随访时间为4~60个月,平均28.4个月。皮瓣质地柔软,颜色与受区相似,鼻外形较好,无通气障碍。供区瘢痕不明显。结论以上唇动脉为蒂的逆行鼻唇沟瓣是一种修复鼻眶下区缺损的较好方法。
[Abstract]:Objective to investigate the surgical method and effect of retrograde nasolabial flap pedicled with superior labial artery for repairing suborbital defect. Methods from September 2006 to May 2013, 13 patients with suborbital defects were treated. All patients underwent tumor resection with suborbital defect. The course of disease ranged from 2 months to 28 years. The defect area was 2.0cm 脳 1.2cm~4.0cm 脳 3.6 cm. Retrograde nasolabial flap pedicled with ipsilateral upper lip artery was used to repair the defect, of which 10 cases were pedicled flap and 3 cases were axial island flap. The donor area was sutured directly. Results all the flaps survived, and all the donor skin flaps survived. The first stage wound healing occurred in 4 cases with slight bloated pedicle of the flap. All the 13 cases were followed up by telephone after 6 ~ 12 months of operation. The follow-up time was 4 ~ 60 months (average 28.4 months). The skin flap has soft texture, similar color to recipient area, good nose shape and no ventilation disorder. Scar in donor area was not obvious. Conclusion the retrograde nasolabial flap pedicled with the superior labial artery is a good method for repairing the suborbital defect.
【作者单位】：重庆医科大学附属口腔医院口腔外科;口腔疾病与生物医学重庆市重点实验室;
【基金】：重庆市卫生局科研基金项目(07-2-178)
【分类号】：R782.2

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