鼻唇折叠皮瓣在外鼻肿瘤切除后全层缺损Ⅰ期修复中的应用

发布时间：2018-09-10 12:21

【摘要】：目的:探讨鼻唇折叠皮瓣在外鼻肿瘤切除后鼻翼全层缺损Ⅰ期修复中的应用。方法:外鼻肿瘤15例,肿瘤切除后鼻翼全层缺损,Ⅰ期用鼻唇尖端折叠皮瓣修复鼻翼缺损。术前探测鼻唇区血管分布以及该区域血管穿支浅出点,按照缺损的区域和大小设计鼻唇尖端折叠皮瓣,根据缺损修复要求修剪皮瓣,使皮瓣最终成为厚薄适宜、鼻外被皮肤和鼻内衬里的局部皮瓣,旋转转移修复鼻翼全层缺损。结果:15例患者皮瓣全部存活,术后随访3个月~3年,瘢痕不明显,鼻翼修复形态满意,鼻腔内痂皮少,修复鼻翼感觉良好。结论:鼻唇折叠皮瓣具有血供好、蒂长、皮瓣厚度适宜、外被皮肤、内有衬里的优点,修复后鼻翼形态满意,鼻腔内干痂少,并保留了外鼻的感觉功能。鼻唇折叠皮瓣是外鼻肿瘤切除后鼻翼全层缺损Ⅰ期修复较为理想的方法。
[Abstract]:Objective: to investigate the application of nasolabial folding flap in the repair of full-thickness alar defect after resection of external nasal tumor. Methods: 15 cases of external nasal neoplasms were resected with full-thickness defect of the nasal alar. In the first stage, the nasal alar defect was repaired with the tip of the nasal lip flap. Before operation, the distribution of the vessels in the nasolabial region and the superficial point of the perforating branches in the region were detected. The flap was designed according to the area and size of the defect, and the flap was pruned according to the repair requirements of the defect, so that the flap would eventually become thick and suitable. External nasal skin and nasal lining of the local flap, rotating transfer repair of the full-thickness defect of the nasal wing. Results all the 15 cases survived, followed up for 3 months to 3 years, the scar was not obvious, the shape of nasal wing repair was satisfactory, the callus was less in nasal cavity, and the repair of nasal wing felt good. Conclusion: the nasolabial fold flap has the advantages of good blood supply, long pedicle, suitable thickness of flap, outer skin cover, lining inside, satisfactory shape of repair of posterior nasal wing, less callus in nasal cavity, and the sensory function of external nose is preserved. The nasolabial fold flap is an ideal method for the first stage repair of the full-thickness defect of the nasal wing after resection of the external nasal tumor.
【作者单位】：南京军区南京总医院耳鼻咽喉头颈外科;南通市第三人民医院耳鼻咽喉科;
【基金】：江苏省基础研究项目(No:bk20161388)
【分类号】：R739.62

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