鼻唇沟贯穿皮瓣修复鼻前庭良恶性病变术后组织缺损中的应用  

Nasolabial groove through the skin flap repair nasal vestibular benign and malignant lesions Application of postoperative tissue defects

作　　者：郭彤彤 葛思彤 单思娇 刘美杉 王富禹 姜宪 GUO Tongtong;GE Sitong;SHAN Sijiao;LIU Meishan;WANG Fuyu;JIANG Xian(Department of Otolaryngology Head and Neck Surgery,Affiliated Hospital of Yanbian University,Yanji,133000,China)

机构地区：[1]延边大学附属医院耳鼻咽喉头颈外科,吉林延吉133000

出　　处：《临床耳鼻咽喉头颈外科杂志》2025年第3期265-267,271,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨鼻唇沟贯穿皮瓣对鼻前庭良恶性病变切除术后组织缺损中的应用价值。方法:回顾性分析鼻前庭良恶性病变患者的临床资料。鳞状细胞癌4例,黑色毛痣2例,慢性增生性炎性病变1例,均用邻近鼻唇沟皮瓣修复鼻前庭内外侧壁术后的组织缺损。结果:随访6个月,所有患者均未发生鼻前庭挛缩,鼻孔狭窄,术后鼻通气功能良好。结论:鼻前庭良恶性病变术后组织缺损,进行术前个体化的鼻唇沟皮瓣设计,对于颌面部外观的维持、鼻前庭框架的保护、术后鼻通气功能有着至关重要的作用。Objective To investigate the application value of nasolabial flaps in addressing tissue defects after resection of benign and malignant nasal vestibular lesions.Methods The clinical data of patients with benign and malignant nasal vestibular lesions were analyzed retrospectively.There were 4 cases of squamous cell carcinoma,2 cases of black hairy nevus and 1 case of chronic proliferative inflammatory lesions,all of which were repaired by adjacent nasolabial flap.Results After 6 months of follow-up,none of the patients developed nasal vestibular contracture or nostril stenosis,and postoperative nasal ventilation function was good.Conclusion The preoperative design of individual nasolabial flaps is very important for maintaining maxillofacial aesthetics,protectingthe nasolabial framework,and preserving postoperative nasal ventilation function.

关 键 词：鼻前庭 修复重建 鼻唇沟皮瓣 

分 类 号：R765.1[医药卫生—耳鼻咽喉科]