鼻唇沟皮下蒂岛状皮瓣修复鼻部皮肤缺损  

Clinical application of the nasolabial island flaps with subcutaneous pedicles for nose skin defects

作　　者：邢书亮[1] 贾万新[1] 沈尊理[1] 黄一雄[1] 张兆锋[1] 王永春[1] 沈华[1] 

机构地区：[1]上海交通大学附属第一人民医院整形外科,上海200080

出　　处：《中国美容医学》2009年第11期1601-1602,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨鼻唇沟皮下蒂岛状皮瓣在修复鼻部皮肤缺损中的应用。方法:应用鼻唇沟皮下蒂岛状皮瓣对12例患者修复鼻部皮肤缺损,缺损部位包括鼻翼、鼻尖及鼻背,最大缺损面积3.0cm×4.0cm。皮瓣沿鼻唇沟走行方向设计,蒂宽1.0～1.5cm,皮瓣长宽比不超过3:1,蒂部旋转点位于皮瓣远端与缺损远端连线的中点。结果:12例患者皮瓣全部成活,其中1例因蒂部卡压术后当天皮瓣颜色略紫,术后第2天予蒂部松解后好转。术后随访半年到1年,皮肤质地、色泽与周围皮肤相近,瘢痕不明显。结论:鼻唇沟皮下蒂岛状皮瓣是修复鼻部皮肤缺损的理想方法。Objective To investigate the use of the nasolabial island flaps for repairing nose skin defects. Methods A retrospective review was conducted of 12 patients presenting with nose skin defects following resection of tumor not amenable to immediate primary closure. The flaps were designed according to the dimension of the defects along the nasolabial fold. The defects included nasal ala, nose tip and nasal dorsum. The largest defect was 3.0cm×4.0cm.The width of the pedicle was 1.0-1.5cm, and the proportion of length to width was not more than 3：1. The rotation point was the middle point between the flaps and defects. Results 12 cases were treated with the nasolabial island flap. All flaps survived. 1 flap became purple-red after operation, and turned to normal after releasing the unduly tight stitches. 6 to 12 months follow up reviewed that the texture and color of the flaps were good, and the incision scars were less formative. Conclusion The nasolabial island flap is a ideal method for repairing the nose skin defects.

关 键 词：鼻唇沟皮瓣:鼻部缺损 修复 

分 类 号：R622[医药卫生—整形外科]