额部轴型皮瓣修复外鼻皮肤组织缺损19例

发布时间：2018-05-11 12:48

本文选题：额部轴型皮瓣 + 外鼻缺损　；参考：《实用医学杂志》2017年05期

【摘要】：目的:探讨额部轴型皮瓣修复外鼻皮肤组织缺损的临床疗效。方法:收集19例采用额部轴型皮瓣修复外鼻皮肤组织缺损的患者的临床资料,其中外伤7例,恶性肿瘤10例,乳头状瘤1例,黑色素痣1例。4例行鼻背部修复,5例行鼻侧壁修复,3例行鼻尖部修复,7例行鼻翼再造及皮瓣整复术。所有病例转移皮瓣蒂部均缝合为管状,供皮区采用腹部全层游离皮片修复18例,减张后直接拉拢缝合1例。术后均行二期断蒂。结果:19例患者转移皮瓣全部存活,转移皮瓣全覆盖创面;再造鼻翼与颜面部皮肤、色泽接近;本组患者感觉测定分级为S3~S4,两点辨别觉(2PD)3~6 mm;术后随访转移皮瓣外形满意,肿瘤病例无复发。结论:采用含知名血管的额部轴形皮瓣修复外鼻创面,可延长修复距离、扩大修复范围,且额部皮瓣相对较厚,韧性强,利于鼻部塑形,操作简便。
[Abstract]:Objective: to investigate the clinical effect of frontal axial flap for repairing skin defect of external nose. Methods: the clinical data of 19 patients with external nasal skin defects were collected, including 7 cases of trauma, 10 cases of malignant tumor and 1 case of papilloma. In 1 case of nevus, 4 cases were treated with nasal dorsal repair, 5 cases with nasal lateral wall repair, 3 cases with nasal tip repair and 7 cases with alar reconstruction and flap restoration. The pedicle of the flap was sutured to be tubular in all cases, 18 cases were repaired with free skin grafts of the whole abdomen, and 1 case was directly closed and sutured after tensioning. All patients underwent secondary pedicle amputation. Results all of the 19 patients survived and the flap covered the wound completely. The skin of the reconstructed nasal wing was similar to the skin of the face. The sensory grading of the patients was S3S4, 2PDD 3mm and 6mm, and the appearance of the flap was satisfactory after operation, and the skin of the reconstructed nasal wing was similar to that of the facial region, and the skin color was similar to that of the skin of the face. Tumor cases did not recur. Conclusion: using the frontal axial flap with well-known blood vessels to repair the external nasal wound can prolong the repair distance and expand the repair range. Moreover, the frontal flap is relatively thick, strong toughness, good for the shape of nose, and easy to operate.
【作者单位】：西南医科大学附属医院耳鼻咽喉头颈外科;
【分类号】：R622;R765.9

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