Salgarelli A C, Bellini P, Multinu A, Magnoni C, Francomano M, Fantini F, Consolo U, Seidenari S
Department of Head and Neck Surgery, Unit of Maxillofacial Surgery, Modena and Reggio Emilia University, Via del Pozzo 71, 41100 Modena, Italy.
J Skin Cancer. 2011;2011:181093. doi: 10.1155/2011/181093. Epub 2011 Jun 7.
Reconstruction of nasal defects must preserve the integrity of complex facial functions and expressions, as well as facial symmetry and a pleasing aesthetic outcome. The reconstructive modality of choice will depend largely on the location, size, and depth of the surgical defect. Individualized therapy is the best course, and numerous flaps have been designed to provide coverage of a variety of nasal-specific defects. We describe our experience in the aesthetic reconstruction of nasal skin defects following oncological surgery. The use of different local flaps for nasal skin cancer defects is reported in 286 patients. Complications in this series were one partial flap dehiscence that healed by secondary intention, two forehead flaps, and one bilobed flap with minimal rim necrosis that resulted in an irregular scar requiring revision. Aesthetic results were deemed satisfactory by all patients and the operating surgeons. The color and texture matches were aesthetically good, and the nasal contour was distinct in all patients. All scars were inconspicuous and symmetrical. No patient had tenting or a flat nose.
鼻缺损的重建必须保留复杂面部功能和表情的完整性，以及面部对称性和令人满意的美学效果。选择的重建方式很大程度上取决于手术缺损的位置、大小和深度。个体化治疗是最佳方案，并且已经设计了许多皮瓣来覆盖各种特定于鼻子的缺损。我们描述了我们在肿瘤手术后鼻皮肤缺损美学重建方面的经验。报告了286例使用不同局部皮瓣修复鼻皮肤癌缺损的患者。该系列中的并发症包括1例通过二期愈合的部分皮瓣裂开、2例额部皮瓣和1例双叶皮瓣，边缘坏死极少，导致瘢痕不规则需要修复。所有患者和手术医生均认为美学效果令人满意。颜色和质地匹配在美学上良好，所有患者的鼻轮廓清晰。所有瘢痕均不明显且对称。没有患者出现鼻尖上翘或鼻扁平的情况。
