组织工程与重建外科杂志 ›› 2016, Vol. 12 ›› Issue (3): 174-176.doi: 10.3969/j.issn.1673-0364.2016.03.008

• 论著 • 上一篇    下一篇

鼻面沟带蒂皮瓣在鼻部亚单位缺损修复中的应用

徐梁,俞哲元,袁捷,韦敏   

  1. 上海交通大学医学院附属第九人民医院整复外科;上海市组织工程研究重点实验室
  • 发布日期:2020-07-23

Application of Nasofacial Groove Pedicle Flap in Repairing Nasal Subunit Defects

XU Liang,YU Zheyuan,YUAN Jie,WEI Min   

  • Published:2020-07-23

摘要: 目的 评价鼻面沟带蒂皮瓣在鼻部亚单位修复中的应用及优缺点。方法 自2015年1月以来,采用鼻面沟带蒂皮瓣修复因肿瘤、外伤等引起鼻翼、鼻尖亚单位缺损患者共15例,根据缺损大小设计鼻面沟皮瓣并旋转覆盖创面,术后观察供、受区情况,三维激光扫描评价鼻部三维立体情况。结果 15例皮瓣均成活良好,术后随访显示鼻部外形良好,供区瘢痕隐蔽,三维扫描显示鼻部立体结构良好,患者满意度较高。结论 采用鼻面沟带蒂皮瓣修复鼻部亚单位缺损,可以获得良好的鼻部外观,且供区损伤较小。该方法是修复鼻部较小缺损的良好选择。

关键词: 鼻面沟带蒂皮瓣, 鼻部缺损, 三维扫描, 修复

Abstract: Objective To evaluate the effect on reconstructing nasal subunits using nasofacial groove pedicle flap and its advantages and disadvantages. Methods From January 2015, total 15 cases with nasal defects due to tumor or trauma on different parts of nasal subunits, including nasal ala and nasal tip were treated with nasofacial groove pedicle flap for nasal reconstruction. Each flap was designed specifically based on the area of defect and then rotated to cover the wound surface. Conditions of both donor and recipient sites were monitored and evaluation of the nasal area were carried out by utilizing three-dimensional (3D) laser scanning. Results All 15 cases shown positive results on the survival rates of flaps, and minimal scars on both donor and recipient sites. Patients' satisfaction rates were high. 3D laser scanning shown regular appearance on the nasal area postoperatively. Conclusion Using nasofacial groove pedicle flap to repair nasal subunit defects is a promising method due to good appearance of recipient site and minimal damage of donor site.

Key words: Nasofacial groove pedicle flap, Nasal defect, Three-dimensional laser scanning, Reconstruction

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