皮下组织蒂隧道插入皮瓣在鼻翼缺损修复中的应用  

Application of tunneled subcutaneous pedicle flaps in repair of nasal alar defects

作　　者：闫娜[1] 杨丽娟 赵婵[3] 刘燕[1] 曾维惠[4] 耿松梅[4] 谭宣丰 Yan Na;Yang Lijuan;Zhao Chan;Liu Yan;Zeng Weihui;Geng Songmei;Tan Xuanfeng(Department of Dermatology,Hanzhong Central Hospital,Hanzhong 723000,Shaanxi,China;Department of Dermatology,Northwest Women's and Children's Hospital,Xi'an 710000,China;Department of Dermatology,Baoji Hospital of Traditional Chinese Medicine,Baoji 721000,Shaanxi,China;Department of Dermatology,The Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710000,China)

机构地区：[1]汉中市中心医院皮肤科,汉中723000 [2]西北妇女儿童医院皮肤科,西安710000 [3]宝鸡市中医医院皮肤科,宝鸡721000 [4]西安交通大学第二附属医院皮肤科,西安710000

出　　处：《中华皮肤科杂志》2022年第2期161-163,共3页Chinese Journal of Dermatology

摘　　要：目的观察皮下组织蒂隧道插入皮瓣在同侧鼻翼缺损修复中的临床疗效。方法回顾性分析2018年1月至2020年1月20例经皮下组织蒂隧道插入皮瓣修复同侧鼻翼基底细胞癌切除后缺损患者的临床资料, 男11例, 女9例, 年龄48 ~ 76岁, 平均60.6岁。结节溃疡型13例, 浅表型4例, 色素型3例, 皮损0.4 cm × 0.5 cm ~ 0.9 cm × 1.1 cm。采用手术扩大切除肿瘤, 同时行皮下组织蒂隧道插入皮瓣修复术后缺损, 皮瓣大小0.7 cm × 0.8 cm ~ 1.2 cm × 1.4 cm。结果 20例患者皮瓣全部成活, 鼻翼缺损完全修复, 术后切口均为一期愈合。术后随访6 ~ 24个月, 鼻翼处肿瘤无复发, 瘢痕增生不明显, 鼻部形态良好, 外形美观。结论对于肿瘤或其他原因导致的鼻翼缺损, 行同侧鼻唇沟皮下组织蒂隧道插入皮瓣修复能达到较佳的治疗及美学效果。Objective To investigate clinical efficacy of tunneled subcutaneous pedicle flaps in the repair of ipsilateral nasal alar defects.Methods A total of 20 patients with nasal alar defects after excision of basal cell carcinoma,which were repaired with ipsilateral tunneled subcutaneous pedicle flaps,were retrospectively collected from January 2018 to January 2020.There were 11 male patients and 9 female patients,with an average age of 60.6 years(range,48-76 years).According to clinical manifestations,the basal cell carcinoma lesions could be classified into 3 types:nodular-ulcerative type(13 cases),superficial type(4 cases)and pigmented type(3 cases),and the skin lesions varied from 0.4 cm × 0.5 cm to 0.9 cm × 1.1 cm in size.All the patients received extended surgical resection of basal cell carcinoma,and nasal alar defects were repaired with tunneled subcutaneous pedicle flaps,with the size of flaps ranging from 0.7 cm × 0.8 cm to 1.2 cm × 1.4 cm.Results All flaps survived successfully,the nasal alar defects were completely repaired,and all wounds healed primarily.During the postoperative follow-up of 6-24 months,neither recurrence of tumors nor obvious scar hyperplasia occurred on the nasal ala,and nasal morphology and appearance were favorable.Conclusion The tunneled subcutaneous pedicle flap can be used for the repair of ipsilateral nasal alar defects following excision of tumors or other lesions,resulting in favorable therapeutic outcomes and aesthetic appearance.

关 键 词：肿瘤 基底细胞 皮下组织蒂隧道插入皮瓣 鼻翼缺损 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]