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使用基于脸颊的二期皮瓣修复鼻尖和鼻翼缺损:正中前额皮瓣的替代方法

Repair of nasal tip and alar defects using cheek-based 2-stage flaps: an alternative to the median forehead flap.

作者信息

Smith Harvey, Elliot Timothy, Vinciullo Carl

机构信息

Dermatology, Surgery, and Laser Center, Perth Surgicenter, South Perth, Australia.

出版信息

Arch Dermatol. 2003 Aug;139(8):1033-6. doi: 10.1001/archderm.139.8.1033.

DOI:10.1001/archderm.139.8.1033
PMID:12925392
Abstract

OBJECTIVE

To describe our use of cheek-based 2-stage transposition flaps for repairing Mohs surgery defects of the lower third of the nose.

DESIGN

Retrospective case series.

SETTING

Private dermatologic day surgery facility. Patients Twenty-eight patients with defects of the lower third of the nose after Mohs surgery. Intervention Ten alar and 18 nasal tip defects repaired using cheek-based 2-stage transposition flaps.

MAIN OUTCOME MEASURES

Acceptability of procedure to patient, complications, and appearance from photographic records.

RESULTS

The procedures were well tolerated and achieved good cosmetic results without major complications.

CONCLUSIONS

These flaps allow repair of extensive defects of the nasal tip and ala with the patient under local anesthesia. This approach provides an alternative to the median forehead flap for nasal tip repairs.

摘要

目的

描述我们使用基于脸颊的两阶段转位皮瓣修复鼻尖下三分之一处Mohs手术缺损的情况。

设计

回顾性病例系列。

地点

私立皮肤科日间手术机构。患者28例Mohs手术后鼻尖下三分之一处有缺损的患者。干预使用基于脸颊的两阶段转位皮瓣修复10例鼻翼缺损和18例鼻尖缺损。

主要观察指标

患者对手术的接受程度、并发症以及照片记录显示的外观情况。

结果

手术耐受性良好,取得了良好的美容效果,无重大并发症。

结论

这些皮瓣可在局部麻醉下为患者修复鼻尖和鼻翼的广泛缺损。这种方法为鼻尖修复提供了一种替代正中前额皮瓣的选择。

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Repair of nasal tip and alar defects using cheek-based 2-stage flaps: an alternative to the median forehead flap.使用基于脸颊的二期皮瓣修复鼻尖和鼻翼缺损:正中前额皮瓣的替代方法
Arch Dermatol. 2003 Aug;139(8):1033-6. doi: 10.1001/archderm.139.8.1033.
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