应用上臂内侧皮瓣修复外伤后鼻缺损  

The Clinical Application of the Medial Upper Arm Flap in the Repair of Traumatic Nasal Defect

作　　者：宋玫 刘毅 张鲜英 李世龙 SONG Mei;LIU Yi;ZHANG Xian-ying;LI Shi-long(The Center of Burns and Plastic Surgery,Lanzhou Command General Hospital of PLA,Lanzhou 730050,GanSu,China)

机构地区：[1]解放军兰州总医院全军烧伤整形外科中心,甘肃兰州730050

出　　处：《中国美容医学》2017年第9期1-3,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨上臂内侧皮瓣在外伤后鼻缺损修复中的应用。方法:2008年4月-2015年3月,对19例外伤后鼻缺损患者,采用上臂内侧带蒂皮瓣、上臂内侧皮管、上臂内侧预制皮瓣移植修复,术后定期随访,观察皮瓣成活情况、鼻修复后外形、鼻部皮肤颜色与质地及供区瘢痕情况。结果:术后经1~3年的随访观察,所有患者的移植皮瓣完全成活,皮瓣色泽、质地与面部皮肤接近,鼻外形满意。结论:上臂内侧皮瓣血运丰富,转移灵活,术后移植部位外形良好,厚度适中,自然美观。Objective To explore the application of medial upper arm flap in reconstruction of nasal defect after trauma.Methods From Apri2008to March2015,19cases of patients with nasal alar defects were treated with medial upper arm pedicle flap,medial upper arm skin tube and medial upper arm prefabricated flap for regular follow-up to observe survival status,shape after nasal repair,nasal skin color and texture and donor site scars.Results After1-3years followed up,all the grafts survived completely.The color and texture of the skin flap were close to that of the skin,and the nasal shape was satisfactory.Conclusion The medial flap of the upper arm is rich in blood supply and flexible in transfer.The postoperative appearance is not bloated and natural and beautiful.

关 键 词：上臂内侧皮瓣 带蒂皮瓣 预制皮瓣 皮管 鼻缺损 

分 类 号：R622[医药卫生—整形外科]