改良皮下蒂皮瓣推移修复鼻部缺损的临床观察  

Clinical observation of modified subcutaneous pedicle flap movement in repairing the nasal defect

作　　者：党晓辉[1] 杜兆文 杜明[1] DANG Xiaohui;DU Zhaowen;DU Ming(Department of Otolaryngology Head and Neck Surgery,Tengzhou Central People’s Hospital,Tengzhou Shandong 277500,China)

机构地区：[1]滕州市中心人民医院耳鼻咽喉头颈外科,山东滕州277500

出　　处：《临床与病理杂志》2021年第4期813-817,共5页Journal of Clinical and Pathological Research

摘　　要：目的:观察和评价改良皮下蒂皮瓣推移修复鼻部缺损中的应用及优缺点。方法:自2015年1月以来,采用改良皮下蒂皮瓣推移修复鼻部缺损患者共16例,术后观察供、受区情况,鼻部立体外形情况。结果:16例皮瓣均成活良好,术后随访显示鼻部外形良好,供、受区瘢痕融合,鼻部立体结构良好,患者满意度较高。结论:采用改良皮下蒂皮瓣推移修复鼻部下1/3缺损,鼻外形修复效果好,且供、受区融合,无另外供区瘢痕出现。该手术损伤小,操作简便易行,可作为修复鼻部较小缺损的临床选择。Objective:To observe and evaluate the advantages and disadvantages of modified subcutaneous pedicle flap movement in repairing nasal defects.Methods:Since January 2015,a total of 16 patients with nasal defects were repaired by the modified subcutaneous pedicle flap movement.The conditions of the donor and recipient areas and the three-dimensional shape of the nose were observed after surgery.Results:All the 16 cases survived well,and the postoperative follow-up showed that the nasal shape was good,with the scar fusion of donor and recipient areas,good three-dimensional structure of nose and high satisfaction of patients.Conclusion:The modified subcutaneous pedicle flap was used to repair the lower 1/3 nasal defect.The nasal shape was good,and scars of donor and recipient areas fused together without additional scars on donor area.The operation is simple and easy for implementation,and can be used as a clinical choice for repairing small nasal defects.

关 键 词：皮下蒂皮瓣 鼻部缺损 修复 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]