Aydin Atakan
Department of Plastic and Reconstructive Surgery, Medicine Faculty of Istanbul University, Istanbul, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2004;12(1-2):6-10.
Many techniques have been described to restore through-and-through alar defects both for the vestibular lining and the lobular skin. This study aimed to present our results with medially based nasolabial turnover flaps in the reconstruction of alar defects.
Medially based nasolabial turnover flaps were used in 11 patients (3 females, 8 males; age range 27 to 65 years) who had through-and-through alar defects due to trauma (n=3) and carcinoma (3 squamous cell, 5 basal cell carcinoma) excisions. The mean follow-up period was 17 months (range 8 to 24 months).
Infection was encountered in only one patient and was successfully treated with antibiotic therapy. All the flaps survived and no recurrence occurred during the follow-up period. The patients were content with the outcome and, despite recommendations, were not willing to have a revision surgery. No problems were seen associated with nasal obstruction.
Despite the need for minor revisions, esthetic and functional results with medially based nasolabial turnover flaps were satisfactory from the patients' standpoint.
已经描述了许多技术用于修复鼻翼全层缺损，包括前庭衬里和小叶皮肤。本研究旨在展示我们使用内侧蒂鼻唇沟翻转皮瓣修复鼻翼缺损的结果。
11例患者（3例女性，8例男性；年龄范围27至65岁）因创伤（n = 3）和癌（3例鳞状细胞癌，5例基底细胞癌）切除导致鼻翼全层缺损，使用了内侧蒂鼻唇沟翻转皮瓣。平均随访期为17个月（范围8至24个月）。
仅1例患者发生感染，经抗生素治疗成功治愈。所有皮瓣均存活，随访期间无复发。患者对结果满意，尽管有建议，但不愿意接受修复手术。未发现与鼻阻塞相关的问题。
尽管需要进行一些小的修复，但从患者的角度来看，内侧蒂鼻唇沟翻转皮瓣的美学和功能效果令人满意。
