Montgomery J, Mace A T M, Cotter C, Sheikh S
Department of ENT, Gartnavel General Hospital, Glasgow, Scotland, UK.
J Laryngol Otol. 2010 Apr;124(4):453-5. doi: 10.1017/S0022215109991897. Epub 2009 Nov 25.
We present a previously unreported technique which we have found useful for closure of the donor site created by a paramedian forehead flap, during nasal reconstruction.
An 80-year-old woman was referred to the ENT department for management of a large tumour involving the left nasal dorsum. The lesion measured 2.5 x 2.5 cm, and an incisional biopsy confirmed moderately differentiated squamous cell carcinoma. Complete excision with an interpolated paramedian forehead flap reconstruction was performed. The pedicle was divided three weeks post-operatively, and the 2 x 2 cm forehead defect was closed at this time. A frontalis muscle flap and full thickness skin graft were used to close the donor site.
A frontalis muscle flap is a novel method of closing large forehead defects created by a paramedian forehead flap. A frontalis muscle flap provides a healthy base for a full thickness skin graft, which allows good skin colour matching and an enhanced cosmetic result.
我们介绍一种此前未报道过的技术，我们发现该技术在鼻再造术中用于闭合经旁正中前额皮瓣形成的供区时很有用。
一名80岁女性因左侧鼻背巨大肿瘤被转诊至耳鼻喉科。病变大小为2.5×2.5厘米，切开活检证实为中分化鳞状细胞癌。进行了完整切除并采用插入式旁正中前额皮瓣重建。术后三周切断蒂部，此时闭合2×2厘米的前额缺损。使用额肌瓣和全厚皮片闭合供区。
额肌瓣是闭合由旁正中前额皮瓣造成的大型前额缺损的一种新方法。额肌瓣为全厚皮片提供了健康的基底，这使得皮肤颜色匹配良好且美容效果更佳。
