继发性鼻缺损畸形的耳前皮瓣游离移植修复  

Repair of secondary nasal defects using free pre-auricular flap

作　　者：李圣利[1] 曹卫刚[1] 蒋朝华[1] 戴婷婷[1] 盛玲玲[1] 崔春晓 王守宝[1] 于子优 LI Shengli;CAO Weigang;JIANG Chaohua;DAI Tingting;SHENG Lingling;CUI Chunxiao;WANG Shoubao;YU Ziyou(Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Burns and Plastic Surgery,Shanghai Children's Medical Center,Shanghai Jiao Tong University,School of Medicine,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海200011 [2]上海交通大学医学院附属儿童医学中心烧伤整复外科,上海200127

出　　处：《中国眼耳鼻喉科杂志》2024年第3期170-172,共3页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的观察应用吻合血管的耳前皮瓣修复鼻部肿瘤治疗后的继发缺损畸形的效果。方法2007年2月—2019年10月收治的鼻部肿瘤治疗后部分鼻缺损病例6例,其中鼻翼和侧鼻部位缺损5例,鼻尖缺损1例。切取以颞浅血管远端为蒂的耳前皮瓣,应用显微外科技术将颞浅动静脉远端与面动静脉吻合,游离移植修复。耳前皮瓣的大小为3.0 cm×2.5 cm~6.0 cm×2.5 cm。结果6例患者游离移植的耳前皮瓣全部成活,鼻部缺损得以良好修复。耳前供区直接缝合未见明显畸形。结论耳前皮瓣游离移植对鼻部肿瘤术后继发缺损畸形的修复有独到的价值。Objective To observe the effect of using a pre-auricular flap with vessels to repair the secondary nasal defects after the treatment of nasal tumors.Methods A reversed pre-auricular flap had been performed on six patients with the secondary nasal defects from the tumor removal including five patients with alar defects and one patient with the nasal tip defect.The size of the flap ranged from 3.0 cm×2.5 cm to 6.0 cm×2.5 cm.The reversed superficial temporal vessels of the flap were anastomosed with the recipient facial vessels.Results All the flaps survived uneventfully in the six patients and satisfactory results were achieved during the follow-up.The donor-site defect was minimal after the primary closure.Conclusion The free pre-auricular flap delivers a good solution to the problem of the secondary nasal defects arising from the tumor surgery in the nose.

关 键 词：肿瘤 鼻缺损 耳前皮瓣 显微修复 颞浅动脉 

分 类 号：R764[医药卫生—耳鼻咽喉科]