鼻唇沟窄蒂皮瓣修复鼻部缺损26例
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摘要
目的探讨鼻唇沟窄蒂皮瓣转移修复鼻部缺损的方法与效果。方法 26例鼻部缺损患者,在鼻唇沟按创面缺损情况设计一窄蒂皮瓣,旋转皮瓣至创面,修复鼻部缺损。结果 26例患者术后转移皮瓣基本成活,修复部位颜色及质地与周围皮肤相匹配,鼻外形视觉效果良好,鼻唇沟切口无明显疤痕。结论鼻唇沟窄蒂皮瓣修复鼻部缺损效果理想,转移灵活,并发症少,是修复鼻部缺损的良好方法。
Objective To study the method and effect of nasolabial sulcus narrow pedicle skin flap transfer of nasal defect. Methods In the nasolabial groove wound defect,a method of a narrow pedicle skin flap rotation skin flap to the wound,the repair of nasal defect were designed in 26 cases. Results The curative effect affirmation,basic survival,transfer the flap repair parts match the surrounding skin color and texture,nasal appearance visual effect was good in 26 cases. There was no obvious scar in the nasolabial sulcus incision. Conclusion Nasolabial sulcus narrow pedicle skin flap to repair the nasal defect effect is ideal,flexible,with fewer complications,is a good method for repair of nasal defect.
Objective To study the method and effect of nasolabial sulcus narrow pedicle skin flap transfer of nasal defect. Methods In the nasolabial groove wound defect,a method of a narrow pedicle skin flap rotation skin flap to the wound,the repair of nasal defect were designed in 26 cases. Results The curative effect affirmation,basic survival,transfer the flap repair parts match the surrounding skin color and texture,nasal appearance visual effect was good in 26 cases. There was no obvious scar in the nasolabial sulcus incision. Conclusion Nasolabial sulcus narrow pedicle skin flap to repair the nasal defect effect is ideal,flexible,with fewer complications,is a good method for repair of nasal defect.
引文
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[2]吴丹丹,赵军磊,轩俊丽.鼻唇沟皮瓣的分类及其在鼻部创面修复中的应用[J].中国医学文摘(耳鼻咽喉科学),2016,31(6):309-311.
[3]孙明亮,潘实,董贤平,等.鼻唇沟皮瓣在面部软组织缺损修复中的应用[J].中国医疗美容,2014,4(4):3-4.
[4]王楷,朱占永,李爱林,等.鼻唇沟旁皮瓣在鼻翼缺损中的应用[J].中国美容整形外科杂志,2014,25(4):200-202.
[5]刘厚军.鼻外侧动脉解剖及临床应用研究[D].合肥:安徽医科大学,2016.
[6]吴晓勇,熊猛.面动脉及其分支的解剖研究及临床价值[J].中国美容医学,2013,22(5):523-525.
[7]张超,林锋,冷明,等.狭长窄蒂皮瓣治疗面额部皮肤癌的临床应用[J].安徽医科大学学报,2013,48(5):555-557.
[8]黄久佐,龙笑,俞楠泽,等.面部常见穿支皮瓣血管解剖及其临床应用[J].医学研究杂志,2016,45(6):138-141.
[9]孙广富,孟庆延,蒋云祥.鼻唇沟皮瓣修复鼻部软组织缺损[J].临床军医杂志,2013,41(8):878-879.
[10]吕永全.鼻唇沟皮瓣在修复鼻部及其周围组织缺损中的运用[J].中国医疗美容,2013,3(3):39-40.