应用耳廓复合组织瓣移植修复鼻翼缺损  

Application of auricular composite tissue flap graft in reconstruction of nasal alar defect

作　　者：李乐[1] 刘林奇[1] 李晓格[1] 陈亮[1] 王珍祥[1] 

机构地区：[1]第三军医大学西南医院整形美容外科,重庆400038

出　　处：《局解手术学杂志》2014年第5期489-492,共4页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨应用耳廓复合组织瓣修复鼻翼缺损方法的临床疗效。方法我科自2008年1月至2013年3月收治43例鼻缺损患者,其中23例患者选用耳廓复合组织瓣术式修复鼻翼缺损(耳廓复合组织瓣术组),20例患者选用鼻唇沟皮瓣转移术式修复鼻翼缺损(鼻唇沟皮瓣转移术组),术后随访6个月至1年,比较2组患者二次手术率、瘢痕增生率及皮瓣存活率情况。结果耳廓复合组织瓣术组在二次手术率、瘢痕增生率及皮瓣存活率等方面明显优于鼻唇沟皮瓣转移术组,P<0.05差异有统计学意义,而在形态满意度方面两者之间差异无统计学意义。结论应用耳廓复合组织瓣修复鼻翼缺损具有手术方法简单、疗效短、外形佳、效果好等优点。Objective To evaluate the clinical efficacy of the application of auricular composite tissue flap in treatment of nasal alar de-fect. Methods 43 cases of nasal defects patients were admitted to our hospital from January 2008 to March 2013, 23 cases of them were treated with auricular composite tissue flap transplantation, and the other 20 cases were given nasolabial sulcus flap transfer operation. All patients were followed-up for 6 to 12 months, and the rate of secondary surgery, proliferation of scar, and flap survival of the two groups were compared. Results Treatment of auricular composite tissue flap transplantation has more advantages in terms of the rate of secondary surgery, proliferation of scar, and flap survival, and the difference is of statistical significance （P〈0. 05）. And there is no obvious differ-ence in satisfaction degree of cosmetic outcomes. Conclusion Auricular composite tissue flap surgery has the advantages of simple opera-tion, good appearance and good efficacy.

关 键 词：鼻缺损 耳廓复合组织瓣 高压氧 鼻唇沟皮瓣 鼻翼缺损 

分 类 号：R628[医药卫生—整形外科] R622.1[医药卫生—外科学]