Grajek Maciej, Maciejewski Adam, Szumniak Ryszard, Krakowczyk Lukasz
Department of Oncological and Reconstructive Surgery, Cancer Center, M. Skłodowska-Curie Institute in Gliwice.
Pol Przegl Chir. 2012 Feb;84(2):99-101. doi: 10.2478/v10035-012-0016-1.
Reconstructive techniques for extended posttraumatic or post-resectional nose defects are well described. Small defects can usually be closed using local flaps with a good esthetic result. Extended resections in the mentioned area require more complex reconstruction methods, including microvascular techniques. The Authors' presented a case of whole nose and partial cheek simultaneous reconstruction using three free flaps. Two auricular free flaps and one radial forearm free flap were used to cover the defect. Meticulous preoperative planning and harvesting of flaps enabled to achieve good esthetic and functional results.
对于创伤后或切除术后广泛的鼻缺损的重建技术已有详细描述。小的缺损通常可通过局部皮瓣闭合，美学效果良好。上述区域的广泛切除需要更复杂的重建方法，包括微血管技术。作者介绍了一例使用三个游离皮瓣同时进行全鼻和部分脸颊重建的病例。使用了两个耳廓游离皮瓣和一个桡侧前臂游离皮瓣来覆盖缺损。精心的术前规划和皮瓣切取使得能够获得良好的美学和功能效果。
