Department of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan 48109, USA.
Laryngoscope. 2013 Feb;123(2):356-9. doi: 10.1002/lary.23595. Epub 2012 Sep 10.
Full-thickness nasal deformities are a reconstructive challenge. Restoration of a reliable internal lining is critical for a successful reconstruction. Septal hinge flaps are the workhorse for internal lining defects. However, these and other intranasal mucosal flaps are sometimes unavailable due to prior harvest or previous oncologic resection. We present the two-stage interpolated subcutaneous fat pedicle melolabial flap for lining large defects when traditional intranasal flaps are unavailable. This approach is particularly useful when one forehead flap has already been expended, preserving the patient's remaining forehead tissue for external cover.
全层鼻畸形是一项具有挑战性的重建任务。为了成功重建，重建一个可靠的内部衬里至关重要。鼻中隔铰链皮瓣是内部衬里缺陷的主要选择。然而，由于先前的采集或先前的肿瘤切除，这些和其他鼻内黏膜皮瓣有时无法使用。当传统的鼻内皮瓣不可用时，我们提出了分期皮下脂肪蒂颊瓣用于衬里大的缺陷。当已经使用了一个额部皮瓣时，这种方法特别有用，为外部覆盖物保留了患者剩余的额部组织。
