鼻唇沟皮瓣联合耳甲腔软骨移植修复鼻翼基底细胞癌术后缺损

发布时间：2018-01-16 19:04

本文关键词：鼻唇沟皮瓣联合耳甲腔软骨移植修复鼻翼基底细胞癌术后缺损　出处：《中国修复重建外科杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的探讨鼻唇沟皮瓣联合耳甲腔软骨移植修复鼻翼基底细胞癌切除术后皮肤软组织缺损的疗效。方法 2012年1月-2014年8月,收治鼻翼基底细胞癌患者8例。男5例,女3例;年龄45~76岁,平均65岁。左侧鼻翼3例,右侧鼻翼5例。均存在鼻翼皮肤病损,反复破溃无好转。经病理检查确诊;确诊至该次手术时间为7~14 d,平均10 d。术中病变组织切除后缺损范围为1.5 cm×1.5 cm~2.0 cm×1.5 cm,采用大小为4.0 cm×1.5 cm~5.0 cm×2.0 cm的鼻唇沟皮瓣联合耳甲腔软骨移植修复。一期术后6个月行皮瓣断蒂并修薄术。结果术后皮瓣均顺利成活,创面Ⅰ期愈合。二期断蒂术中未见肿瘤复发,断蒂后切口Ⅰ期愈合。患者均获随访6个月。患侧鼻翼无塌陷,术区未见明显瘢痕。患者对鼻外形满意。结论鼻唇沟皮瓣联合耳甲腔软骨移植修复鼻翼基底细胞癌术后皮肤软组织缺损,具有操作简便、切口隐蔽且不遗留明显瘢痕、鼻翼外观较好的优点,但需行两期手术是其不足。
[Abstract]:Objective to investigate the effect of nasolabial flap combined with auricular cartilage transplantation in repairing skin and soft tissue defects after resection of basal cell carcinoma of nasal wing. Methods from January 2012 to August 2014. Eight patients with basal cell carcinoma of nasal wing were treated. The average age was 65 years old. There were 3 cases of left alar and 5 cases of right alar. The time from diagnosis to operation was 7 ~ 14 days, with an average of 10 days. The defect area after resection was 1.5 cm 脳 1.5 cm~2.0 cm 脳 1.5 cm. 4. 0 cm 脳 1. 5 cm~5.0 cm 脳 2. 0. Cm-cm-nasolabial flap combined with auricular cartilage transplantation. The pedicle of the flap was broken and thinned 6 months after primary operation. Results all the flaps survived successfully. There was no recurrence of the tumor during the second stage pedicle breakage, and the wound healed in the first stage after the pedicle break. All the patients were followed up for 6 months. There was no collapse of the affected nasal wing. No scar was found in the operation area and the patients were satisfied with the nasal appearance. Conclusion the nasolabial flap combined with auricular cartilage transplantation is simple and convenient for repairing skin and soft tissue defects after operation for basal cell carcinoma of nasal wing. The incision has the advantages of concealment without obvious scar and good appearance of the nasal wing, but it is insufficient to perform two-stage operation.
【作者单位】：四川大学华西医院烧伤整形科;
【分类号】：R739.5
【正文快照】： 据报道,皮肤恶性肿瘤发病率呈增加趋势,特别是皮肤来源的基底细胞癌,占皮肤恶性肿瘤的比例高达30.5%[1],尤其以面部发生率较高。鼻部基底细胞癌切除后创面修复难度较大,特别是鼻翼部,因其具有面部最复杂的三层结构和外形,很难获得满意外观。2012年1月-2014年8月,我们采用鼻唇

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