van der Eerden Paul, Simmons Mark, Vuyk Hade
Department of Otolaryngology, Lange Land Hospital, Zoetermeer, the Netherlands.
Arch Facial Plast Surg. 2008 Mar-Apr;10(2):131-6. doi: 10.1001/archfaci.10.2.131.
To describe the experience of a single department using uncovered subcutaneous hinge flaps to repair the nasal portion and adjacent facial subunits of defects after skin tumor excision.
Case series of 16 patients needing reconstruction for lesions of the alar subunit with 1 or more adjacent facial subunits after Mohs surgery for cutaneous malignant neoplasms.
All flaps healed well by secondary intention, and the results were gauged at least satisfactory by the patients and surgeons. In 4 patients there were minor aesthetic concerns: in 1 patient the underlying cartilage graft was prominent and a minor revision was undertaken, 1 patient had effacement of the nasofacial sulcus, 1 patient developed a hypertrophic scar, and 1 patient developed both effacement of the nasofacial sulcus and a scar.
The use of subcutaneous hinge flaps allowed to heal by secondary intention is a simple 1-stage technique that may be useful in reconstruction of small but deep nasal sidewall defects.
描述单个科室使用皮下无覆盖铰链皮瓣修复皮肤肿瘤切除术后鼻部及相邻面部亚单位缺损的经验。
对16例皮肤恶性肿瘤Mohs手术后需要修复鼻翼亚单位及1个或多个相邻面部亚单位病变的患者进行病例系列研究。
所有皮瓣均通过二期愈合良好，患者和外科医生对结果的评价至少为满意。4例患者存在轻微美学问题：1例患者的下方软骨移植片突出，进行了一次小的修复；1例患者鼻面部沟消失；1例患者出现增生性瘢痕；1例患者鼻面部沟消失且出现瘢痕。
使用皮下铰链皮瓣通过二期愈合是一种简单的一期技术，可能有助于修复小而深的鼻侧壁缺损。
