Ulug Burcak Tumerdem, Kuran Ismail
Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Maltepe University, Istanbul, Turkey.
Ann Plast Surg. 2008 Nov;61(5):521-6. doi: 10.1097/SAP.0b013e31816d8214.
The reconstructive plan of full-thickness nasal defects should include recreation of internal nasal lining, skeletal and cartilaginous support and external cover. We performed nasal reconstruction combined with turn-over island nasal skin flap for nasal lining reconstruction in 12 patients who underwent full-thickness resection of nasal area because of skin cancer. The flap filled the nasal lining defect of the alar area and provided a good support for skeletal reconstruction. The external skin coverage, which was enlarged according to the subunit principle, was restored by the forehead skin flap at the same operation. Enlarging the nasal defect according to the subunit principle and using the residual skin as a turn-over skin island flap for nasal lining, combined with forehead skin flap for external coverage, provides an excellent nasal reconstruction in a single operation.
全层鼻缺损的重建方案应包括鼻内黏膜重建、骨骼和软骨支撑以及外部覆盖。我们对12例因皮肤癌接受鼻区全层切除的患者采用翻转岛状鼻皮瓣联合鼻重建术进行鼻黏膜重建。该皮瓣填充了鼻翼区的鼻黏膜缺损，并为骨骼重建提供了良好的支撑。根据亚单位原则扩大的外部皮肤覆盖，在同一手术中通过额部皮瓣进行修复。根据亚单位原则扩大鼻缺损，并将残留皮肤用作翻转皮岛瓣进行鼻黏膜重建，同时联合额部皮瓣进行外部覆盖，可在一次手术中实现出色的鼻重建。
