使用V/Y型鼻翼穿支皮瓣优化鼻再造术
Refinement of Nasal Reconstruction with a V/Y-alar-perforator Flap.
作者信息
Feinendegen Dominik L, Langer Martin F, Roldán J Camilo
机构信息
Institute of Plastic, Reconstructive and Aesthetic Surgery, Zürich-Zollikon, Switzerland; Department of Hand and Trauma Surgery, University of Münster, Münster, Germany; Department of Cranio-Maxillofacial Plastic Surgery, University of Regensburg, Regensburg, Germany; Adult Aesthetic and Reconstructive Surgery of the Face at Aneasthesia Center at UKE, Hamburg, Germany; and Division of Pediatric Facial Plastic Surgery and Craniofacial Anomalies at the Catholic Childrens Hospital Wilhelmstift, Hamburg, Germany.
出版信息
Plast Reconstr Surg Glob Open. 2017 Jan 30;5(1):e1195. doi: 10.1097/GOX.0000000000001195. eCollection 2017 Jan.
BACKGROUND
The ala of the nose is vascularized by a dense net of perforators originating from the lateral nasal artery or the angular artery. These vessels reach the ala in a cascade fashion from the alar groove/lateral nasal wall. Based on these vessels, a V/Y flap can be dissected with a wide range of mobility.
MATERIALS AND METHODS
Nineteen patients underwent reconstruction of the nose by means of a V/Y-alar-perforator flap alone or in combination with a myocutaneous rotation flap from the lateral nasal wall and/or from the nasal dorsum for reconstruction of defects at the nasal tip, ala of the nose, and/or lateral nasal wall. All patients were followed up 8 months after surgery in average.
RESULTS
There was no prolonged congestion or any tissue loss. All patients presented postoperatively with excellent aesthetic results, and no nasal distortion was observed.
CONCLUSION
The V/Y-alar-perforator flap alone or in combination with a myocutaneous rotation flap proved to be a reliable tool in the armamentarium for reconstruction of nasal tip and alar defects providing good aesthetic results.
背景
鼻翼由源自鼻外侧动脉或内眦动脉的密集穿支血管网供血。这些血管以级联方式从鼻翼沟/鼻侧壁到达鼻翼。基于这些血管，可解剖出具有广泛活动度的V/Y皮瓣。
材料与方法
19例患者单独采用V/Y鼻翼穿支皮瓣或联合鼻侧壁和/或鼻背的肌皮旋转皮瓣进行鼻再造，以修复鼻尖、鼻翼和/或鼻侧壁的缺损。所有患者术后平均随访8个月。
结果
无长时间充血或任何组织丢失。所有患者术后均获得了极佳的美学效果，未观察到鼻畸形。
结论
单独使用V/Y鼻翼穿支皮瓣或联合肌皮旋转皮瓣被证明是修复鼻尖和鼻翼缺损的可靠工具，可提供良好的美学效果。
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