Department of Oral and Maxillofacial Surgery, Paracelsius Medical University LKH-Salzburg, Salzburg, Austria.
Int J Oral Maxillofac Surg. 2012 May;41(5):581-6. doi: 10.1016/j.ijom.2012.02.001. Epub 2012 Mar 4.
This study describes a new microvascular flap combination from the medial femur and ear to reconstruct the nose after subtotal resection and presents the first clinical results. In four patients a squamous cell carcinoma of the nose was registered. In three patients this was diagnosed for the first time while in the fourth patient it was the second relapse after two resections and local flap surgery. In every case, tumour resection ended up in an extended defect of the nose, cheek and upper lip region. For skeletal reconstruction and the inner lining of the nose, a microvascular osteocutaneous femur flap was used. After reconstructing the nasal skeleton, the remaining defect was covered by a microvascular composite flap from the left ear and preauricular region. Both flap pedicles were anastomosed to the facial vein and artery. In every case, the flaps healed without complications. There was no tumour relapse. 12 months after reconstruction, minor surgical corrections were made. The patients showed a satisfying functional and aesthetic result. The combination of a microvascular osteocutaneous femur flap and a microvascular ear flap can be used successfully for reconstructing the nose after subtotal resection.
本研究描述了一种新的来自股骨内侧和耳朵的微血管皮瓣组合，用于重建全鼻切除术后的鼻子，并呈现了首个临床结果。在 4 名患者中，登记了鼻的鳞状细胞癌。在 3 名患者中，这是首次诊断，而在第 4 名患者中，这是两次切除和局部皮瓣手术后的第二次复发。在每种情况下，肿瘤切除最终导致鼻子、脸颊和上唇区域的广泛缺陷。对于骨骼重建和鼻子的内层，使用了微血管骨皮瓣。在重建鼻骨骼后，用来自左侧耳朵和耳前区域的微血管复合瓣覆盖剩余的缺陷。两个皮瓣蒂均与面静脉和动脉吻合。在每种情况下，皮瓣均无并发症愈合。没有肿瘤复发。重建后 12 个月，进行了小的手术矫正。患者表现出满意的功能和美学结果。微血管骨皮瓣和微血管耳瓣的组合可成功用于重建全鼻切除术后的鼻子。
