鼻背“风筝”皮瓣修复鼻尖部缺损的手术效果探讨
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摘要
目的:探讨应用鼻背"风筝"皮瓣修复鼻尖缺损的效果。方法:2016年10月-2018年10月收集鼻尖部缺损病例10例,男7例,女3例,年龄3～54岁,均采用鼻背"风筝"皮瓣修复鼻尖部缺损。结果:术后随访3个月,所有患者均愈合良好,无并发症发生,皮瓣颜色、质地与周围皮肤一致,瘢痕不明显,鼻部外形较满意。结论:应用鼻背"风筝"皮瓣修复鼻尖缺损,手术方法简便,供区可直接缝合,术后效果满意。
Objective To investigate the effect of repairing nasal tip defect with nasal dorsal skin flap. Methods From October 2016 to October 2018, 10 cases of nasal tip defect, 7 males and 3 females, aged from 3 to 54 years, were treated with nasal dorsal kite flap to repair nasal tip defect. Results All flaps survived well without complications such as necrosis, hematoma and infection. After a follow-up of 3 months, the color and texture of the skin flap were similar to that of the surrounding skin, and the scar was not obvious. Nasal shape was satisfactory. Conclusion Kite skin flap has good effects on reparing the nasal tip skin defects. It can achieve aesthetic effects, and can be operated easliy with less trauma and fewer complications. Therefore, it is worthy of clinical popularization application.
Objective To investigate the effect of repairing nasal tip defect with nasal dorsal skin flap. Methods From October 2016 to October 2018, 10 cases of nasal tip defect, 7 males and 3 females, aged from 3 to 54 years, were treated with nasal dorsal kite flap to repair nasal tip defect. Results All flaps survived well without complications such as necrosis, hematoma and infection. After a follow-up of 3 months, the color and texture of the skin flap were similar to that of the surrounding skin, and the scar was not obvious. Nasal shape was satisfactory. Conclusion Kite skin flap has good effects on reparing the nasal tip skin defects. It can achieve aesthetic effects, and can be operated easliy with less trauma and fewer complications. Therefore, it is worthy of clinical popularization application.
引文
[1]陈誉华,陈树波,李丽莎.鼻部不同亚单位组织缺损修复方法的选择[J].中国美容医学,2013,22(9):917-920.
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[10]康道现,周开华,邹晴,等.风筝皮瓣修复鼻背部基底细胞癌切除术后缺损1例[J].临床皮肤科杂志,2016,45(5):394-395.
[11]黄绍丽,张晋松,何永静,等.风筝皮瓣修复鼻背部皮肤缺损38例疗效观察[J].中国皮肤性病学杂志.2017,12(31):1380-1381.
[12]倪晓静,王坤.“风筝”皮瓣修复面部皮肤缺损的临床应用[J].中国美容医学,2018,27(4):27-29.
[13]李记涛.风筝皮瓣修复鼻背部皮肤缺损效果观察[J].河南外科学杂志,2018,24(6):85-87.
[14]容庆丰,张国华.多种皮瓣修复鼻部缺损25例临床分析[J].吉林医学,2013,34(19):3848-3849.
[15]彭敏.氢气联合地塞米松在大鼠背部随意皮瓣存活的研究[D].泸州:西南医科大学,2016.
[16]马艳,周晓博,余文捷,等.风筝皮瓣在头面部恶性肿瘤切除术后修复重建中的应用[J].中国美容整形外科杂志,2018,29(6):356-357.
[2]秦芹,姚广东.鼻唇沟窄蒂皮瓣修复鼻部缺损26例[J].安徽医学,2018,22(8):1540-1541.
[3]王琨,刘刚,刘峰.应用额鼻皮瓣修复鼻部缺损[J].临床皮肤科杂志,2013,42(1):54-55.
[4]丁静华,苏法仁.额部带蒂扩张皮瓣转移修复全鼻缺损的临床观察[J].临床耳鼻咽喉头颈外科杂志.2017,31(22):1753-1755.
[5]马腾霄,张正文,谢锋,等.应用额部扩张皮瓣修复鼻缺损[J].中国美容医学,2014,23(20):1684-1687.
[6]张建辉,唐嗣泉,杨洪斌,等.鼻面部邻近皮瓣在外鼻部分缺损修复中的应用[J].中华临床医师杂志(电子版),2013,7(23):11039-11041.
[7]胡莹莹,申璐敏,刘彦初,等.48例鼻缺损修复[J].中国美容整形外科杂志,2016,27(6):355.
[8]张会明,金德斌,李智,等.邻近皮瓣修复鼻缺损32例分析[J].人民军医,2016,59(11):1183-1184.
[9]邢新,杨志勇,陈江萍.“风筝”皮瓣在眼睑前层缺损修复中的应用[J].中华医学美学美容杂志,2005,11(1):9-10.
[10]康道现,周开华,邹晴,等.风筝皮瓣修复鼻背部基底细胞癌切除术后缺损1例[J].临床皮肤科杂志,2016,45(5):394-395.
[11]黄绍丽,张晋松,何永静,等.风筝皮瓣修复鼻背部皮肤缺损38例疗效观察[J].中国皮肤性病学杂志.2017,12(31):1380-1381.
[12]倪晓静,王坤.“风筝”皮瓣修复面部皮肤缺损的临床应用[J].中国美容医学,2018,27(4):27-29.
[13]李记涛.风筝皮瓣修复鼻背部皮肤缺损效果观察[J].河南外科学杂志,2018,24(6):85-87.
[14]容庆丰,张国华.多种皮瓣修复鼻部缺损25例临床分析[J].吉林医学,2013,34(19):3848-3849.
[15]彭敏.氢气联合地塞米松在大鼠背部随意皮瓣存活的研究[D].泸州:西南医科大学,2016.
[16]马艳,周晓博,余文捷,等.风筝皮瓣在头面部恶性肿瘤切除术后修复重建中的应用[J].中国美容整形外科杂志,2018,29(6):356-357.