Herford A S, Zide M F
Oral and Maxillofacial Surgery, University of Texas, Southwestern Medical Center, Dallas, TX, USA.
J Oral Maxillofac Surg. 2001 Jul;59(7):760-7. doi: 10.1053/joms.2001.24290.
This article reviewed the results of reconstruction of surface nasal defects after removal of skin cancer.
One hundred patients with 103 surface defects involving various locations on the nose were treated. Management included direct closure, secondary epithelization, full-thickness skin grafts, and local flaps using 1 or 2 stages.
Ten nasal defects were treated by direct closure, 8 defects healed by secondary epithelization, and 30 patients were treated with a full-thickness skin graft. Fifty-five defects were reconstructed with local flaps including 30 one-stage and 25 two-stage flaps.
Many options are available for reconstructing nasal defects that can lead to acceptable aesthetic results. Among the factors that need to be addressed before choosing a procedure for reconstruction of surface nasal defects resulting from skin cancer are size and location of the defect, aesthetic concerns, and the medical status of the patient.
本文回顾了皮肤癌切除术后鼻面部缺损的修复结果。
对100例患者的103处鼻面部不同部位的缺损进行了治疗。治疗方法包括直接缝合、二期上皮化、全厚皮片移植以及采用1或2期的局部皮瓣。
10处鼻缺损采用直接缝合治疗，8处缺损通过二期上皮化愈合，30例患者接受了全厚皮片移植。55处缺损采用局部皮瓣修复，其中30处为一期皮瓣，25处为二期皮瓣。
修复鼻缺损有多种选择，均可获得可接受的美学效果。在选择修复因皮肤癌导致的鼻面部缺损的手术方法之前，需要考虑的因素包括缺损的大小和位置、美学需求以及患者的健康状况。
