带蒂鼻中隔-鼻腔底黏骨膜瓣和颞肌筋膜瓣修补鼻中隔穿孔  

Pedicle flap of nasal septum-basis nasi and temporal muscucofascial flap to repair nasoseptal perforation

作　　者：尹兴红[1] 胡伟[1] 张新海[1] 孙敏[1] 

机构地区：[1]阜阳市人民医院耳鼻咽喉-头颈外科,安徽阜阳236600

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第20期1605-1606,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨采用带蒂鼻中隔-鼻腔底黏骨膜/软骨膜瓣+颞肌筋膜瓣修补鼻中隔较大穿孔的疗效。方法:以鼻中隔穿孔下缘为轴分离右侧鼻中隔穿孔下缘以下黏骨膜/软骨膜及右鼻腔底部黏骨膜,根据穿孔大小做成尽可能宽的蒂在穿孔下边缘且足够大的翻转黏骨膜/软骨膜瓣,上翻穿过穿孔翻向左侧鼻腔,缝合固定于对侧穿孔之创面,再用自体颞肌筋膜瓣修补鼻中隔另一侧穿孔面。结果:12例鼻中隔穿孔均在鼻内镜下完成,且一期愈合。结论:采用带蒂鼻中隔-鼻腔底黏骨膜/软骨膜瓣+颞肌筋膜瓣修补鼻中隔穿孔,取材方便,无排斥反应,带蒂黏骨膜瓣血供良好,成活率高。Objective：To explore curative effect with pedicle flap of nasal septum-basis nasi and temporal muscucofascial flap to repair nasal septal perforation.Method：Dissecting mucoperichondrium and mucoperioseptum around the perforation and taking dowm and out xia-ward to the floor of nasal cavity to make a inferior extremity pedicle flap.Then,the flap was tumbled and sutured onto raw surface of contralateral side through perforation.Reapplicating autoallergic temporal musculofascial flap to repair another side perforation.Result：Repairing perforation in twelve cases were sucessfully healed in endoscope.Conclusion：The pedicle flap of nasal septum-basis nasi and temporal muscucofascial flap is easy to acquire and no rejection.The flap has good blood supplying,high survival rate and provides adequate transplantating materail to repair comparatively large perforation.

关 键 词：鼻中隔穿孔 内镜检查 外科皮瓣 

分 类 号：R765.3[医药卫生—耳鼻咽喉科]