跨区供血反流轴型耳廓复合组织瓣在鼻翼缺损修复中的临床应用  

Application of Aural Composite Tissue Flap with Cross-region Blood Supply and Reflux in Clinical Repairment of Nasal Alar Defect

作　　者：任家吉 陈祥军 REN Jiaji;CHEN Xiangjun(Hand and Foot Microsurgery,Southwest Guizhou Provincial People's Hospital,Xingyi,Guizhou 562400,China;Plastic Surgery,Affiliated Hospital of Guizhou Medical University,Guiyang,Guizhou 550001,China)

机构地区：[1]贵州省黔西南州人民医院手足显微外科,贵州兴义562400 [2]贵州医科大学附属医院整形外科,贵州贵阳550001

出　　处：《大医生》2019年第7期175-176,共2页Doctor

摘　　要：目的观察跨区供血反流轴型耳廓复合组织瓣转移修复鼻翼缺损的临床效果。方法利用跨区供血反流轴型耳廓复合组织瓣对3例鼻翼织缺损进行修复。结果本组3例患者中,2例Ⅰ期耳廓复合组织瓣转移手术修复成功,鼻翼缺损得以满意修复,1例转移组织瓣远端0.5 cm×0.5 cm皮肤发黑坏死,经换药治疗后创面愈合,3例患者术后经3至12月随访,鼻翼缺损修复外形满意,鼻腔通畅,耳廓供瓣区形态基本正常,额部瘢痕不明显。结论跨区供血反流轴型耳廓复合组织瓣是修复鼻翼缺损的较好方法之一。Objective To observe the clinical effect of transregional blood supply regurgitation axial auricle composite tissue flap for repairing nasal alar defect.Methods Three cases of nasal alar tissue defect were repaired with cross-region reflux axial auricle composite tissue flap.Results Among the 3 cases,2 cases were successfully repaired with primary auricular composite tissue flap,and 1 case had skin blackening and necrosis of 0.5 cm×0.5 cm at the distal end of the metastatic tissue flap.The wound healed after dressing change.3 cases were followed up from 3 to 12 months after operation.The repair of alar defect was satisfactory in appearance,nasal cavity was patency,auricle donor flap area.The shape is normal basically,the scar of forehead part is not obvious.Conclusion Auricular composite flap with cross-region blood supply and regurgitation is one of the better methods for repairing nasal wing defect.

关 键 词：鼻翼缺损 跨区供血 耳廓复合组织瓣 修复 

分 类 号：R76[医药卫生—耳鼻咽喉科]