Turan Aydn, Kul Zekeriya, Türkaslan Tayfun, Özyiğit Türker, Özsoy Zafer
Istanbul, Turkey From the Plastic and Reconstructive Surgery Clinic, SSK Vakıf Gureba Hospital.
Plast Reconstr Surg. 2007 May;119(6):1767-1772. doi: 10.1097/01.prs.0000259088.47033.aa.
The superiorly based nasolabial flap is a well-known procedure. However, random pattern or subcutaneous pedicle flaps are insufficient for reconstruction of large defects. Artery pedicle flaps have a satisfactory blood supply, and for that reason, the required tissue can be raised for reconstruction of large defects of the nose.
Twelve cases were operated on with this technique. Reconstruction was performed with a lateral nasal artery pedicle island flap. The mean age of the patients was 68.4 years. Three patients required cartilage grafts for alar rim support. The cartilage grafts were harvested from the auricular conchal bowl. The follow-up period ranged from 15 to 33 months.
There was no partial or total loss of the flap. There was no distortion on the face caused by smiling and pursing of the lips observed. Donor and reconstructed areas have an excellent appearance in all cases. The aesthetic results were satisfying for all patients as well.
The authors' flap can be used for reconstructing large defects of the lower half of the nose, and reconstruction with a single stage yields a fast and satisfactory result. The authors advocate that the lateral nasal artery pedicle nasolabial island flap is an excellent choice for reconstruction of large defects in the lower half of the nose.
以近端为蒂的鼻唇瓣是一种广为人知的手术方法。然而，随意型或皮下蒂瓣不足以修复大面积缺损。动脉蒂瓣血供良好，因此可切取所需组织用于修复鼻部大面积缺损。
采用该技术对12例患者进行手术。用鼻外侧动脉蒂岛状瓣进行修复。患者平均年龄68.4岁。3例患者需要软骨移植以支撑鼻翼缘。软骨移植取自耳廓耳甲腔。随访时间为15至33个月。
皮瓣无部分或全部坏死。未观察到因微笑和噘嘴导致的面部变形。所有病例供区和修复区外观均良好。所有患者的美学效果也令人满意。
作者所采用的皮瓣可用于修复鼻下半部的大面积缺损，一期修复效果快速且令人满意。作者主张鼻外侧动脉蒂鼻唇岛状瓣是修复鼻下半部大面积缺损的理想选择。
