【摘要】：目的:探討鼻唇折疊皮瓣在外鼻腫瘤切除后鼻翼全層缺損Ⅰ期修復中的應用。方法:外鼻腫瘤15例,腫瘤切除后鼻翼全層缺損,Ⅰ期用鼻唇尖端折疊皮瓣修復鼻翼缺損。術前探測鼻唇區(qū)血管分布以及該區(qū)域血管穿支淺出點,按照缺損的區(qū)域和大小設計鼻唇尖端折疊皮瓣,根據缺損修復要求修剪皮瓣,使皮瓣最終成為厚薄適宜、鼻外被皮膚和鼻內襯里的局部皮瓣,旋轉轉移修復鼻翼全層缺損。結果:15例患者皮瓣全部存活,術后隨訪3個月~3年,瘢痕不明顯,鼻翼修復形態(tài)滿意,鼻腔內痂皮少,修復鼻翼感覺良好。結論:鼻唇折疊皮瓣具有血供好、蒂長、皮瓣厚度適宜、外被皮膚、內有襯里的優(yōu)點,修復后鼻翼形態(tài)滿意,鼻腔內干痂少,并保留了外鼻的感覺功能。鼻唇折疊皮瓣是外鼻腫瘤切除后鼻翼全層缺損Ⅰ期修復較為理想的方法。
[Abstract]:Objective: to investigate the application of nasolabial folding flap in the repair of full-thickness alar defect after resection of external nasal tumor. Methods: 15 cases of external nasal neoplasms were resected with full-thickness defect of the nasal alar. In the first stage, the nasal alar defect was repaired with the tip of the nasal lip flap. Before operation, the distribution of the vessels in the nasolabial region and the superficial point of the perforating branches in the region were detected. The flap was designed according to the area and size of the defect, and the flap was pruned according to the repair requirements of the defect, so that the flap would eventually become thick and suitable. External nasal skin and nasal lining of the local flap, rotating transfer repair of the full-thickness defect of the nasal wing. Results all the 15 cases survived, followed up for 3 months to 3 years, the scar was not obvious, the shape of nasal wing repair was satisfactory, the callus was less in nasal cavity, and the repair of nasal wing felt good. Conclusion: the nasolabial fold flap has the advantages of good blood supply, long pedicle, suitable thickness of flap, outer skin cover, lining inside, satisfactory shape of repair of posterior nasal wing, less callus in nasal cavity, and the sensory function of external nose is preserved. The nasolabial fold flap is an ideal method for the first stage repair of the full-thickness defect of the nasal wing after resection of the external nasal tumor.
【作者單位】： 南京軍區(qū)南京總醫(yī)院耳鼻咽喉頭頸外科;南通市第三人民醫(yī)院耳鼻咽喉科;
【基金】：江蘇省基礎研究項目(No:bk20161388)
【分類號】：R739.62

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