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修复鼻翼缺损的东西向推进皮瓣(水平推进皮瓣)。

The east-west advancement flap (horizontal advancement flap) to repair a defect on the nose ala.

机构信息

Department of Dermatology, Dermatological Surgery Unit, GB Morgagni-L Pierantoni General Hospital, via Forlanini, Forli, Italy.

出版信息

J Eur Acad Dermatol Venereol. 2010 Aug;24(8):926-9. doi: 10.1111/j.1468-3083.2009.03552.x. Epub 2010 Jan 6.

Abstract

BACKGROUND

The repair of an alar nasal defect is a frequent challenge for dermatologic surgeons for reasons of the high rate of non-melanoma cancers in the area.

OBJECTIVE

Our aim was to describe the use of an east-west cheek-based flap (horizontal advancement flap) to repair a surgical defect on the nose ala.

METHODS

Benefits and limits of this surgical procedure are evaluated.

RESULT

The resulting S-shaped scar was well-camouflaged among the natural skin lines (melolabial fold and melonasal junction). No architectural distortion of the nose resulted from the procedure.

CONCLUSION

In selected patients with small-to-medium-size defects of the nasal ala, the horizontal advancement flap is a simple, reliable and aesthetic reconstruction option.

摘要

背景

由于该区域非黑色素瘤癌症的高发率,修复鼻翼缺损对皮肤科医生来说是一个常见的挑战。

目的

我们旨在描述使用东西向颊瓣(水平推进瓣)修复鼻翼手术缺损。

方法

评估了这种手术方法的优缺点。

结果

形成的 S 形瘢痕很好地隐藏在自然皮肤线(唇颊沟和鼻唇交界处)中。该手术没有导致鼻子的结构变形。

结论

对于鼻翼有小至中等大小缺损的特定患者,水平推进瓣是一种简单、可靠和美观的重建选择。

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