Leszczyński Z, Kochanowski B, Jakubiszyn J
Oddział Laryngologii Szpitala Wojewódzkiego w Opolu.
Otolaryngol Pol. 1999;53(1):59-64.
The authors describe a method of surgical treatment of nosebleeds caused by Rendu-Osler-Weber's disease. Free skin graft of the thigh region was used for closure of nasal septal defects. A new dermatoplasty technique allows to cover both sides of the nasal septum with a single skin graft. The diseased septal mucosa is denuded with a scalpel, but the underlying perichondrium is preserved. Excellent exposure of the nasal septum is obtained via a modified external rhinoplasty approach. This new dermatoplasty technique described by dr Bridger is a modification of traditional Saunders dermatoplasty. In three patients treated by this method at our department the transplantation ended successful.
作者描述了一种治疗遗传性出血性毛细血管扩张症所致鼻出血的手术方法。采用大腿部游离皮片移植来封闭鼻中隔缺损。一种新的皮肤移植术可使用单一皮片覆盖鼻中隔两侧。用手术刀剥除病变的鼻中隔黏膜，但保留其下方的软骨膜。通过改良的鼻外整形术入路可实现鼻中隔的良好暴露。布里杰医生所描述的这种新皮肤移植术是对传统桑德斯皮肤移植术的改良。在我们科室接受该方法治疗的3例患者中，移植手术均成功完成。
