Novaković Marijan, Baralić Ivanka, Stepić Nenad, Rajović Milica, Stojiljković Vladimir
Military Medical Academy, Clinic for Plastic Surgery and Burns, Belgrade, Serbia.
Vojnosanit Pregl. 2009 May;66(5):403-6. doi: 10.2298/vsp0905403n.
Alar rim defects are mostly acquired, resulting from burns, traumas or tumor excision. Sometimes they can accompany craniofacial clefts. However, isolated congenital alar defects are extremely rare.
We presented two cases of congenital isolated alar cleft. The defect was closed by the use of an advancement flap, the technique described by Denonvilliers. We achieved both symmetry and appropriate thickness of the nostrils. Skin color and texture of the alar rim were excellent, with scars not excessively visible.
Denonvilliers' z-plasty technique by using advancement flap provides both functionally and aesthetically satisfying outcome in patients with congenital alar rim defects.
鼻翼缘缺损大多是后天获得性的，由烧伤、创伤或肿瘤切除引起。有时它们可伴有颅面裂。然而，孤立性先天性鼻翼缺损极为罕见。
我们展示了两例先天性孤立性鼻翼裂病例。采用Denonvilliers描述的推进皮瓣技术闭合缺损。我们实现了鼻孔的对称性和适当厚度。鼻翼缘的皮肤颜色和质地良好，瘢痕不太明显。
采用推进皮瓣的Denonvilliers Z成形术在先天性鼻翼缘缺损患者中提供了功能和美学上令人满意的结果。
