改良耳廓复合组织瓣修复鼻翼巨大缺损  

he Clinical Efect of Reforming Auricular Tissue Flaps to Repair Defects of Nasal Ala

作　　者：宋蓉柬 田晓东 陈宝国 胡国文 

机构地区：[1]攀枝花钢铁有限责任公司职工总医院烧伤整形科,四川攀枝花617023

出　　处：《华西医学》2013年第7期1048-1050,共3页West China Medical Journal

摘　　要：目的总结改良耳廓复合组织瓣修复鼻翼巨大缺损的方法和经验。方法 2005年9月-2010年9月共收治11例巨大鼻翼缺损患者,术前根据鼻翼缺损的形状、大小和位置设计切取耳廓复合组织瓣的形状、大小和部位,供瓣区分层缝合。游离组织瓣分层嵌入间断缝合于受区。术后随访1～3年。结果 11例皮瓣均完全存活,颜色与周围皮肤无明显差异,表面无黑痂,无表皮分离,随访见周围缝合切口轻微瘢痕形成,复合组织瓣无明显挛缩,与健侧对比形态自然、大小差异不明显,供瓣区耳廓形态良好。结论通过细致合理的设计及复合组织瓣嵌入后缝合,配合术后促进局部血液循环治疗,改良耳廓复合组织瓣植入法可有效修复巨大鼻翼缺损。Objective To observe the clinical effect of reforming auricular tissue flaps on repairing defect of nasal ala.Methods A tolal of 11 patients with giant nasal defect were collected from September 2005 to September 2010.According to the shape,size and position of alas defects,we designed the shape,size and location of auricular tissue flap for the stratified sewing of the valve area.Free flaps embedded intermittent suture in the area.Results All of the patients survived completely;no significant difference was found in the color and skin,and none black scab was found in the surface of skin.Slight scar was formed around the incision in the follow-up period;the flap had no contracture and no significant difference in shape and size with uninjured side;the condition of donor site was good.Conclusion Rational design,flap suture and the promotion blood circulation after surgery will improve the clinical effectiveness of reforming auricular tissue flap to repair defect of nasal ala.

关 键 词：复合组织瓣 鼻翼缺损 修复 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]