Andrade Pedro, Serra David, Cardoso José Carlos, Vieira Ricardo, Figueiredo Américo
Serviço de Dermatologia e Venereologia, Universidade de Coimbra, EPE, Portugal.
An Bras Dermatol. 2012 Sep-Oct;87(5):762-5. doi: 10.1590/s0365-05962012000500016.
Complex surgical nasal defects are often technically difficult. We report the case of a 71-year old male diagnosed with a malignant melanoma (animal type; Breslow 1.5; Clark IV) on the right nasal ala. Radial excision with margins of approximately 1.5 cm was performed, creating a complex full-thickness surgical defect involving the free wall and margin of the right nasal ala, the right soft triangle, nasal lobe and columella, which was reconstructed using a melolabial interpolated flap, with highly satisfactory final esthetic result. Interpolated flaps are viable surgical options for the reconstruction of surgical defects for which local flaps and skin grafts are not suitable.
复杂的鼻腔手术缺损在技术上往往具有挑战性。我们报告了一例71岁男性患者，其右侧鼻翼被诊断为恶性黑色素瘤（动物型； Breslow厚度1.5；Clark分级IV级）。进行了切缘约1.5 cm的放射状切除，造成了一个复杂的全层手术缺损，累及右侧鼻翼的游离壁和边缘、右侧软三角、鼻叶和鼻小柱，使用鼻唇沟插入皮瓣进行重建，最终美学效果非常满意。插入皮瓣是重建局部皮瓣和皮肤移植不适用的手术缺损的可行手术选择。
