含真皮下血管网真皮蒂鼻唇沟皮瓣修复鼻唇部缺损  

DERMAL PEDICLED NASOLABIAL FLAP WITH SUBDERMAL VASCULAR NETWORK FOR REPAIRING NASOLABIAL SKIN DEFECTS

作　　者：陈誉华[1] 

机构地区：[1]邢台市人民医院医疗美容科,河北邢台054001

出　　处：《中国修复重建外科杂志》2011年第12期1459-1461,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的探讨含真皮下血管网真皮蒂鼻唇沟皮瓣修复鼻唇部缺损的疗效。方法 2008年7月-2011年7月,应用含真皮下血管网真皮蒂鼻唇沟皮瓣修复鼻唇部缺损43例。男22例,女21例;年龄6～68岁,中位年龄36岁。缺损均为病变切除所致。其中黑色素痣23例,瘢痕16例,炎性肉芽肿4例;病程3个月～35年。病变部位:鼻尖11例,鼻翼10例,鼻翼、鼻尖10例,鼻翼沟8例,上唇4例。病变切除后缺损范围为0.7 cm×0.5 cm～1.2 cm×1.0 cm。皮瓣切取范围为1.0 cm×0.7 cm～1.5 cm×1.2 cm。结果术后皮瓣全部成活,创面Ⅰ期愈合;供区切口均Ⅰ期愈合。术后34例患者获随访,随访时间6～12个月,平均10个月。术后皮瓣色泽、弹性、质地与周围正常皮肤相似。供区无明显瘢痕。结论含真皮下血管网真皮蒂鼻唇沟皮瓣修复鼻唇部缺损具有皮瓣移位灵活、供区组织损伤小、术后皮下隧道臃肿发生率低等优点。Objective To evaluate the effectiveness of the dermal pedicled nasolabial flap with subdermal vascular network for repairing nasolabial skin defects.Methods Between July 2008 and July 2011,43 cases of nasolabial defects were repaired with dermal pedicled nasolabial flap with subdermal vascular network.There were 22 males and 21 females with a median age of 36 years（range,6-68 years）.All defects were caused by excision of lesions,including pigmented nevus in 23 cases,scar in 16 cases,and inflammatory granuloma in 4 cases.The disease duration was 3 months to 35 years.Lesions were located at the tip of the nose in 11 cases,at the alae of the nose in 10 cases,at the alae and tip of the nose in 10 cases,at the alar groove of the nose in 8 cases,and at upper lip in 4 cases.The defect size ranged from 0.7 cm × 0.5 cm to 1.2 cm × 1.0 cm.The flap size ranged from 1.0 cm × 0.7 cm to 1.5 cm × 1.2 cm.Results All flaps survived and incisions at donors and wound healed by first intention.After operation,34 patients were followed up 6-12 months（mean,10 months）.The texture and color of the flap were similar to adjacent skin.No obvious scar was observed at donor sites.Conclusion The dermal pedicled nasolabial flap with subdermal vascular network has the advantages of flexible flap transplantation,small damage to donor site,and low incidence of bloated subcutaneous tunnel.

关 键 词：真皮蒂鼻唇沟皮瓣 真皮下血管网 鼻唇部缺损 创面修复 

分 类 号：R622[医药卫生—整形外科]