残留鼻翼翻转皮瓣联合鼻旁皮瓣鼻翼再造的临床应用  

Clinical application of residual nasal alar flap combined with adjacent nasal skin flap in nasal alar reconstruction

作　　者：陆思锭 廖明德[1] LU Siding;LIAO Mingde(Department of Medical Aesthetics,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院医疗美容科,南宁530021

出　　处：《中国美容整形外科杂志》2024年第1期40-43,共4页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z-A20220453)。

摘　　要：目的探讨残留鼻翼翻转皮瓣联合鼻旁皮瓣在鼻翼再造中的临床应用效果。方法自2021年1月至2022年12月,广西医科大学第一附属医院医疗美容科对12例单侧鼻翼缺损患者行残留鼻翼翻转皮瓣联合鼻旁皮瓣鼻翼再造术。于患侧残留鼻旁设计一局部带蒂皮瓣,残留鼻翼处设计向鼻孔内翻转皮瓣为鼻腔内层衬里,鼻旁皮瓣转移为鼻翼缺损外层覆盖组织。结果12例患者术后获随访6~12个月,残留鼻翼缺损得到了有效的修复与重建。重建的鼻翼外观自然,鼻孔呼吸通畅,与周围组织和面部轮廓相协调,术后无严重并发症发生。结论残留鼻翼翻转皮瓣联合鼻旁皮瓣鼻翼再造术是一种修复残留鼻翼缺损有效可行的方法。Objective To investigate the clinical effectiveness of residual nasal alar flap combined with adjacent nasal skin flap in nasal alar reconstruction after nasal alar defect.Methods A retrospective analysis was conducted on 12 patients with nasal alar defects treated from January 2021 to December 2022.The patients underwent residual nasal alar flap combined with adjacent nasal skin flap for nasal alar reconstruction.The method involved designing a local pedicled skin flap in the residual nasal side,designing a skin flap that flips inward into the nasal cavity at the residual nasal wing as the inner lining,and transferring the nasal side skin flap as the outer covering tissue for the defect of the nasal wing.Results All patients were followed up for 6 to 12 months postoperatively,and effective repair and reconstruction of the residual nasal alar defects were achieved.The reconstructed nasal alar had a natural appearance,unobstructed nasal breathing,and harmonious coordination with surrounding tissues and facial contours.No postoperative complications were observed.Conclusion Residual nasal alar flap combined with adjacent nasal skin flap is an effective and feasible technique for repairing residual nasal alar defects.

关 键 词：鼻翼缺损 残留鼻翼翻转皮瓣 鼻旁皮瓣 鼻翼再造 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]