耳郭复合组织瓣和鼻唇沟皮瓣在鼻翼缺损中的应用  

Application of auricle compound tissue flap and nasolabial fold flap in the repair of nasal alar defect

作　　者：燕静杰 张瑱[1] 王剑[1] YAN Jing-jie;ZHANG Zhen;WANG Jian(Department of Plastic Surgery,People’s Hospital of Zhengzhou,Zhengzhou 450012,China)

机构地区：[1]郑州人民医院整形外科,河南郑州450012

出　　处：《中国美容整形外科杂志》2020年第9期545-547,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨耳郭复合组织瓣和鼻唇沟皮瓣在鼻翼缺损修复中的应用效果。方法自2014年7月至2018年12月,对16例鼻翼缺损患者采用耳郭复合组织瓣或鼻唇沟皮瓣修复,分析鼻翼缺损情况、修复方法、供受区瘢痕、术后形态等。结果本组16例患者中7例采用耳郭复合组织瓣修复,9例采用鼻唇沟皮瓣修复,术后外观满意,供受区瘢痕均较隐蔽。结论耳郭复合组织瓣及鼻唇沟瓣是修复鼻翼缺损的良好方法,针对鼻翼全层缺损者,可首选耳郭复合组织瓣;针对非全层缺损,尤其是肿物切除术后皮肤软组织缺损者首选鼻唇沟皮瓣。两种方法各有优缺点,需结合患者情况进行选择。Objective To explore the application efficacy ofauricle compound tissue flap and nasolabial fold flap in the repair of nasal alar defect. Methods From July 2014 to December 2018, 16 patients with nasal alar defect were repaired by auricle compound tissue flap or nasolabial fold flap. The condition of nasal alar defect, repair method, scars of donor site and recipient site and postoperative appearance were analyzed. Results Of 16 patients, 7 patients are repaired by auricle compound tissue flap and 9 patients were repaired by nasolabial fold flap. The postoperative appearance was satisfactory. The scar of donor site and recipient site was concealed. Conclusion Both auricle compound tissue flap and nasolabial fold flap are good methods for the repair of nasal alar defect. The auricle compound tissue flap should be preferred for patients with full-thickness defect of nasal alar. The nasolabial fold flap should be preferred for patients with non-full-thickness defect of nasal alar, especially for skin and soft tissue defect after tumor resection. Both methods have their advantages and disadvantages. It should be choosen according to the actual conditions of patients.

关 键 词：耳郭复合组织瓣 鼻唇沟皮瓣 鼻翼缺损 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]