不同术式修复部分鼻缺损的临床效果  

Repairing partial nasal defect with different strategies

作　　者：杨琴[1] 李学拥[1] 李金清[1] 马富鑫 全猛 蒋立[1] 

机构地区：[1]第四军医大学唐都医院烧伤整形科,西安710038

出　　处：《中华医学美学美容杂志》2017年第3期171-173,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨针对不同类型鼻部缺损选择不同的修复方法的临床效果.方法 对23例鼻部缺损患者根据鼻部缺损范围大小、亚单位损伤、损伤组织层次的不同选择适合的修复方式,包括耳后复合组织游离皮瓣移植、鼻唇沟皮瓣移植、局部皮瓣移植、颞浅血管蒂额部岛状皮瓣移植、皮片移植等,术后进行随访.结果 使用耳后复合组织游离移植4例,局部鼻唇沟皮瓣5例,颞浅血管蒂额部岛状皮瓣3例,局部转移皮瓣7例,皮片移植1例均成活,另3例采取单纯缝合.经过5～16个月的随访,鼻部局部皮肤颜色、质地与周围基本一致,鼻外形满意,术后效果良好.结论 鼻部缺损修复的方式较多,根据鼻部缺损范围大小、亚单位损伤、损伤组织层次的不同,选择适合的修复方法,可获得较好的临床效果.Objective Proper selection of reconstruction method is the key point to get a successful result in nasal reconstruction.The purpose of the article is to evaluate the results of repairing the partial nasal defect with different surgical strategies.Methods Different surgical methods were used according to the area and type of nasal defects of nasal defects,the different sub-unit of nasal de fects and the different tissue damage levels.Local skin flaps,auricular composite tissue flaps,nasolabial skin flaps and superficial temporal artery pedicle flaps were used in these patients.Results 23 cases suffering from partial nasal defects were repaired with flaps or tissue graft,including 4 auricular composite tissue flap,5 nasolabial skin flap,3 forehead island flap with a pedicle of superficial temporal vessels,7 local flap,and 1 skin graft.After 5-16 months of follow-up,the color and texture around the nose were basically consistent,the appearance of nose was satisfactory,and the postoperative effect turned out fine.Conclusions The method of surgical reconstruction of partial nasal defects should be considered carefully according to the area of nasal defects,sub-unit of nasal defects and the different tissue damage levels.

关 键 词：鼻部缺损 修复 皮瓣 

分 类 号：R622[医药卫生—整形外科] R765.9[医药卫生—外科学]