鼻唇沟带蒂皮瓣联合局部翻转组织瓣在鼻翼缺损整复中的临床应用
发布时间：2018-10-22 14:18
【摘要】：目的:探讨鼻唇沟带蒂皮瓣联合缺损局部翻转组织瓣在鼻翼缺损整复中的临床应用效果。方法:2012--2015年我科收治的6例不同原因所致鼻翼全层缺损畸形的患者,采用缺损局部鼻翼旁或鼻背组织瓣翻转后做衬里,鼻唇沟带蒂皮瓣覆盖修复全层鼻翼缺损。术后观察皮瓣血运情况及远期修复效果。结果:本组6例患者的皮瓣全部存活,其中1例患者翻转瘢痕组织瓣远端出现少许坏死,经局部祛痂、换药后坏死创面愈合良好。6例患者随访1~7个月,重建鼻翼质地、颜色、大小与健侧相近,鼻孔形态良好,鼻腔无通气障碍,供区可见线性疤痕,无明显皱褶、臃肿等,患者对总体外观均满意。结论:采用鼻唇沟带蒂皮瓣联合缺损局部翻转组织瓣做鼻腔衬里修复鼻翼全层缺损,重建鼻翼形态良好,术后瘢痕不明显,是一种较理想的方法。
[Abstract]:Objective: to investigate the clinical effect of nasolabial flap pedicled flap combined with local reversed tissue flap in the repair of nasal alar defect. Methods: from 2012 to 2015, 6 cases of full-thickness alar defects caused by different causes were treated in our department. The defect was repaired with the flap pedicled with nasolabial sulcus pedicle. Postoperative blood circulation and long-term repair effect were observed. Results: the flaps of 6 patients were all alive, one of them showed a little necrosis at the distal end of the flap, and the wound healed well after the change of dressing, and 6 patients were followed up for 1 ~ 7 months to reconstruct the texture and color of the nasal wing. The size was similar to that of the normal side, the nostril shape was good, the nasal cavity had no ventilation disturbance, the donor area had linear scar, no obvious wrinkle, bloated and so on. The patients were satisfied with the overall appearance. Conclusion: the nasolabial flap with pedicled flap combined with the local reversed tissue flap is an ideal method to repair the full-thickness defect of the nasal alar and reconstruct the alar with good shape and the scar is not obvious after operation.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R765.9;R62
[Abstract]:Objective: to investigate the clinical effect of nasolabial flap pedicled flap combined with local reversed tissue flap in the repair of nasal alar defect. Methods: from 2012 to 2015, 6 cases of full-thickness alar defects caused by different causes were treated in our department. The defect was repaired with the flap pedicled with nasolabial sulcus pedicle. Postoperative blood circulation and long-term repair effect were observed. Results: the flaps of 6 patients were all alive, one of them showed a little necrosis at the distal end of the flap, and the wound healed well after the change of dressing, and 6 patients were followed up for 1 ~ 7 months to reconstruct the texture and color of the nasal wing. The size was similar to that of the normal side, the nostril shape was good, the nasal cavity had no ventilation disturbance, the donor area had linear scar, no obvious wrinkle, bloated and so on. The patients were satisfied with the overall appearance. Conclusion: the nasolabial flap with pedicled flap combined with the local reversed tissue flap is an ideal method to repair the full-thickness defect of the nasal alar and reconstruct the alar with good shape and the scar is not obvious after operation.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R765.9;R62
【参考文献】
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1 赵冬菊;陈东;王s罨，
本文编号：2287400
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