鼻唇沟皮瓣修复鼻端软组织缺损的效果  

Efficacy of nasolabial flap in repairing inferior nasal defect

作　　者：陈龙金 倪福芳 张明军 胡丹丹[1] 李永林[1] Chen Longjin;Ni Fufang;Zhang Mingjun;Hu Dandan;Li Yonglin(Department of Plastic Surgery, Zhengzhou First Hospital, Zhengzhou 450000, China)

机构地区：[1]郑州市第一人民医院整形外科,450000

出　　处：《中华医学美学美容杂志》2019年第3期218-220,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨以内眦动脉为蒂的逆行鼻唇沟皮瓣在鼻端软组织缺损修复中的效果。方法2013年7月至2016年12月,郑州市第一人民医院整形外科收集鼻端软组织缺损18例,男7例,女11例;年龄21~82岁。根据鼻端软组织缺损的部位及面积不同,在患侧鼻唇沟处设计以内眦动脉为蒂的逆行岛状皮瓣或轴形皮瓣修复缺损。结果18例患者术后随访6~36个月,其中2例皮瓣远端发生部分坏死,经换药后愈合,其余皮瓣全部成活。局部皮瓣不臃肿,色泽、质地与周围皮肤相近,18例患者对外形改善满意。结论内眦动脉为蒂的逆行鼻唇沟皮瓣血运可靠、取材方便、设计灵活、供区隐蔽,是鼻端软组织缺损修复的可选择方法。Objective To investigate the clinical effect of retrograde nasolabial fold flap pedicled with angular artery in the repair of inferior nasal defect. Methods According to the location and size of inferior nasal defect, the reverse island flap or axial flap pedicled with the inner canthus artery was designed to repair the defect at the nasolabial fold of the affected side. Results Eighteen patients were followed up for 6-36 months, of which 2 cases had partial necrosis at the distal part of the flap, healed by dressing change, and the rest of the flaps survived. The flaps were not bulky and the color and texture were similar to those of the surrounding skin. All patients were satisfied with the appearance improvement. Conclusions The blood supply of the retrograde nasolabial fold flap pedicled with the inner canthus artery is reliable, using flaps from the nasolabial sulcus is surgically convenient, flexible in design and covert in donor site. It is one of the ideal methods for the repair of inferior nasal defects. It is worthy of clinical application.

关 键 词：鼻 软组织损伤 修复外科手术 内眦动脉 逆行鼻唇沟皮瓣 鼻端软组织缺损 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]