逆行颊肌黏膜瓣一期修复鼻腔内翻性乳头状瘤切除术后创面  

The reverse buccinator musculomucosal flap for the treatment of inverted papilloma of the nose

作　　者：范巨峰[1] 王宁宇[2] 陈莉[2] 张桂秀[2] 李森恺[3] 赵振民[3] 

机构地区：[1]首都医科大学附属北京朝阳医院整形外科,北京100020 [2]首都医科大学附属北京朝阳医院耳鼻咽喉科,北京100020 [3]中国医学科学院中国协和医科大学整形外科医院

出　　处：《中华整形外科杂志》2005年第4期266-268,共3页Chinese Journal of Plastic Surgery

摘　　要：目的介绍逆行颊肌黏膜瓣一期修复经鼻内镜切除鼻腔内翻性乳头状瘤术后创面的方法。方法应用鼻内镜经鼻孔完整切除鼻腔内翻性乳头状瘤,采用患侧面动脉前颊支为蒂的逆行颊肌黏膜瓣,经口鼻隧道转移到鼻腔,一期修复肿瘤切除术后创面。结果共治疗3例,术后颊肌黏膜瓣全部完全成活,无并发症发生。结论逆行颊肌黏膜瓣用于修复侵及鼻阈的鼻腔内翻性乳头状瘤切除术后创面,解决了继发鼻腔瘢痕挛缩狭窄的问题。与鼻内镜下肿瘤切除手术同期完成,提高了手术质量,减少了需二期手术矫正继发畸形的可能性。本手术不仅可以修复各种鼻腔肿物切除术后创面,预防鼻腔瘢痕性狭窄形成,而且可以用于治疗既往已经形成的鼻腔瘢痕性狭窄。Objective This paper presents the experience in using the reverse buccinator musculomucosal flap for repairing the defect following excising inverted papilloma of the nose. Methods After the inverted papilloma of the nose was excised through an endonasal approach, the reverse buccinator musculomucosal flap supplied by the retrograde blood flow of the anterior buccal artery was harvested and sutured to the defect through the ora-nasal tunnel. The procedure was performed on three patients. Results The postoperative course was uneventful. All the flaps survived completely. Conclusions The technique provides the solution to prevent nasal stricture from cicatricial contracture after excising inverted papilloma. In the operation, excising the inverted papilloma and repairing the defect was performed simultaneously, saving another operation for the secondary deformity. The technique is also applicable to the treatment of existing cicatricial stricture of the nose.;

关 键 词：鼻腔内翻性乳头状瘤 颊肌黏膜瓣 术后创面 一期修复 逆行 瘢痕性狭窄 经鼻内镜切除 肿瘤切除手术 完整切除 无并发症 瘢痕挛缩 同期完成 鼻内镜下 手术质量 继发畸形 手术矫正 鼻腔肿物 经鼻孔 面动脉 可能性 治疗 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]