鼻部缺损修复的临床总结  

Clinical summary of nasal defect reparation

作　　者：杨勇[1] 张彦标[1] 冉锋[1] 李先慧[1] 陈伟[1] 蒋金恒[1] 王晓娟[1] 周阳[1] 薛刚[1] 

机构地区：[1]成都军区总医院烧伤整形科,成都610083

出　　处：《西南国防医药》2012年第4期389-391,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的总结鼻大部缺损和鼻翼缺损修复再造的手术方法和临床效果。方法 1980～2010年共收治鼻部缺损修复患者70例,其中全鼻再造首选扩张器植入扩张前额正中皮瓣;鼻翼缺损尽量用鼻唇沟皮瓣进行修复,若鼻翼缺损小于1.5 cm×1.5 cm,可采用耳廓复合组织游离移植。结果本组70例中,61例移植皮瓣或皮片全部成活,2例皮瓣远端部分坏死。59例术后随访0.5～3年,鼻缺损外形均得到明显改善,效果满意。结论鼻部缺损应根据缺损部位、范围、供区情况及患者对手术效果的要求综合考虑,选择适合的手术方法。Objective To summarize the operative method and clinical effects of repairing and reconstructing defects in nose and nasal ala.Methods There were 70 patients with nasal defects who received the reparation from 1980-2010.Among these cases,the implantation of dilator into the central flap of the dilated forehead was the first choice for the reconstruction of the whole nose.The defects of nasal ala were repaired with nasolabial flap.For the patients with the defects smaller than 1.5 cm×1.5 cm,auricle composite tissue free grafting was used in the reparation.Results Among the 70 cases,the implanted flaps or the entire free skin grafts survived in 61 cases;the distal parts of flaps necrosed in 2 cases.During the 0.5-3 year follow-up after the operation,the nasal defects were significantly improved and the effects were satisfactory in 59 cases.Conclusion Proper operation for reparation of nasal defects should be chosen according to the position,extent of defect,donor site and the patients＇ requirement for the operative effects.

关 键 词：鼻 缺损 修复 全鼻再造 疗效 

分 类 号：R734.405[医药卫生—肿瘤]