改良菱形皮瓣转移术修复鼻部软组织缺损临床效果观察  

Observation on the effect of modified rhomboid flaps metastasis to repair nasal soft tissue defects

作　　者：曹迁[1] 范巨峰[1] 陈晓芳 钱维[1] 侯莹[1] CAO Qian;FAN Jufeng;CHEN Xiaofang;QIAN Wei;HOU Ying(Department of Plastic surgery,Beijing Chaoyang Hos to Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院整形外科,北京100020

出　　处：《中国美容整形外科杂志》2024年第4期230-232,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨针对鼻部软组织缺损采用改良菱形皮瓣转移术修复的临床效果。方法回顾性分析自2018年10月至2021年10月,首都医科大学附属北京朝阳医院整形外科收治的49例鼻部肿物患者,肿物切除术后缺损部位采用改良菱形皮瓣转移术进行修复,并对术后患者皮瓣成活、色泽、质地,创面平整度,瘢痕增生等情况进行随访总结。结果49例患者术后获随访6~12个月,所有患者皮瓣全部成活,切口均一期愈合,无复发。皮瓣与周围正常组织之间无明显色差,触感相近,过渡平缓自然,无局部牵拉变形,无明显瘢痕增生,患者对外观满意。结论改良菱形皮瓣设计灵活、操作简便、术后外观形态及功能恢复较好,是修复鼻部肿物切除术后软组织缺损的理想皮瓣。Objective To explore the clinical effect of using modified rhomboid flap metastasis to repair nasal soft tissue defects.Methods Forty-nine cases of nasal tumor patients admitted to the author's hospital from October 2018 to October 2021 underwent nasal tumor resection,and the defect was repaired by modified rhomboid flap metastasis.The survival,color and texture of skin flaps,wound flatness,scar hyperplasia was followed up and summarized.Results All 49 patients were followed up for 6 to 12 months.All flaps survived and incisions healed by the first intention,there was no recurrence.Between the flap and the surrounding normal tissues,no obvious color difference was observed,the tactile sensation was similar,and the transition was smooth and natural.There was no local traction and deformation in the operation area.No obvious scar was observed.Patients were satisfied with the appearance.Conclusion The modified rhomboid flap is flexible in design and simple in operation.The postoperative flap has good local appearance and function.It is an ideal flap for repairing tissue defects after nasal tumor resection.

关 键 词：改良菱形皮瓣 鼻部肿物 软组织缺损 创面愈合 

分 类 号：R622[医药卫生—整形外科]