鼻头不全离断原位回植1例  

Successful replantation of an almost-amputated nose

作　　者：刘蒙 赵文峰 胡希悦 张晨[1] 王洁晴[1] Liu Meng;Zhao Wenfeng;Hu Xiyue;Zhang Chen;Wang Jieqing(Department of Plastic Surgery,Dalian University Affiliated Xinhua Hospital,Dalian 116000,China)

机构地区：[1]大连大学附属新华医院整形外科,大连116000

出　　处：《中华整形外科杂志》2024年第5期555-559,共5页Chinese Journal of Plastic Surgery

摘　　要：有关鼻部离断伤治疗的报道较少,该文报道1例47岁男性鼻头不全离断患者,2023年7月就诊于大连大学附属新华医院,其右侧鼻尖及鼻翼离断,撕脱面积约4 cm×4 cm,残存鼻小柱下方约5 mm宽蒂部与鼻基底相连,仅有鼻小柱动脉血供良好,术中将离断组织原位回植,术后以克林霉素静脉滴注预防感染,给予皮瓣针刺放血、肝素盐水湿敷及按摩等治疗,术后鼻头全部存活,鼻部外观良好。作者通过复习相关文献,对鼻部血供方式及鼻部离断伤的治疗方法进行讨论和总结,为类似患者的治疗提供参考。There are limited reports available regarding the treatment of amputated noses.This article presented a case of an incompletely amputated nose in a 47-year-old male who was admitted to Dalian University Affiliated Xinhua Hospital in July 2023.He was characterized by an amputated right nasal tip and alar region,with an avulsion area of approximately 4 cm×4 cm.The broad pedicle was connected to the nasal base,approximately 5 mm below the remaining nasal column,and only the nasal column retained a satisfactory arterial blood supply.During the operation,the amputated tissue was implanted in situ,and clindamycin was employed to prevent infection after the operation by intravenous infusion.Bloodletting with flaps,wet application of heparin saline,and massage were employed and all the amputated tissue survived.The appearance of the nose was deemed acceptable.By reviewing relevant literature,the author discussed and summarized the methods of nasal blood supply and treatment for nasal amputated injuries,thereby providing a reference for the management of similar cases.

关 键 词：鼻 再植术 外鼻血供 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]