鼻唇沟带蒂皮瓣联合局部瘢痕瓣修复鼻翼缺损的效果  

Application of nasolabial sulcus pedicle flap combined with local flip scar flap in the repair of nasal alar defect

作　　者：何仁德 陈天鹏 韦强[2] He Rende;Chen Tianpeng;Wei Qiang(Department of Surgevy,The Central Hospital of Enshi Tujia and Miao Autonomous Prefeture,Enshi 445000,China;Department of Plastic Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning 530000,China)

机构地区：[1]湖北恩施土家族苗族自治州中心医院外科,恩施445000 [2]广西医科大学第一附属医院整形美容外科,南宁530000

出　　处：《中华医学美学美容杂志》2020年第6期494-497,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨鼻唇沟带蒂皮瓣联合局部翻转瘢痕瓣修复鼻翼缺损的临床效果。方法2012年9月至2015年9月,广西医科大学第一附属医院整形美容外科收治6例不同原因造成鼻翼全层缺损患者,男3例,女3例,年龄25~39岁,平均32岁。用鼻唇沟带蒂皮瓣覆盖,联合缺损鼻翼局部瘢痕翻转瓣做衬里修复鼻翼全层缺损。术后观察皮瓣血运情况及远期鼻翼修复效果。结果6例患者转移皮瓣均成活,其中1例患者翻转瘢痕瓣远端出现少许坏死,经局部换药及清痂后愈合良好。随访6~12个月,重建的鼻翼大小、质地、颜色与健侧相近,鼻孔形态良好,鼻腔无通气障碍,供区可见线性瘢痕,无明显皱褶、臃肿等,患者对外观满意。结论鼻唇沟带蒂皮瓣联合鼻翼缺损局部瘢痕瓣翻转做衬里,结合较韧翻转瘢痕瓣的支撑,是一种修复鼻翼全层缺损的较好方法。Objective To investigate the effect of repairing nasal alar defect with nasolabial sulcus flap combined and local scar flip flap.Methods From September 2012 to September 2015,6 patients with nasal alar defect received treatment.The nasal alar defect was repaired with the nasolabial sulcus flap,combined with local scar flip flap or dorsum scar flap flip,3 males and 3 females,aged 25-39 years,with an average of 32 years.Results This group of 6 patients with skin flap survived completely,1 patient distal appear parts a little scar flap necrosis,with treatment and wound recovered well after debridement.Post-operative follow-up for 6 months to 12 months showed satisfactory results with good appearance,no scar,cat ears,etc.Conclusions Application of nasolabial sulcus flap combined with local scar flip flap in the repair of nasal alar defect,the shape of nose is well after repairing.So that is an ideal method of tissue defect to repair nasal alar.

关 键 词：鼻 鼻翼缺损 瘢痕组织瓣 鼻唇沟皮瓣 衬里组织 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]