Spataro Emily, Branham Gregory H
Department of Otolaryngology-Head and Neck Surgery, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri.
Facial Plast Surg. 2017 Feb;33(1):9-16. doi: 10.1055/s-0036-1597949. Epub 2017 Feb 22.
The rise in cutaneous malignancies over the past 20 years has led to significant advances in reconstructing the nose from an aesthetic and functional standpoint. The principles of nasal reconstruction center on application of the nasal subunit principle, three-layered reconstruction, nasal skin characteristics, and patient factors. Reconstructive planning starts with proper defect analysis, followed by application of the reconstructive ladder for soft-tissue repair, adequate structural support, and repair of nasal lining deficits. Optimal reconstructive methods depend on the location and size of the defect. Finally, refinement of the reconstruction is achieved through dermabrasion, scar revision, and flap thinning techniques.
在过去20年里，皮肤恶性肿瘤的增多促使鼻部重建在美学和功能方面取得了显著进展。鼻重建的原则集中在鼻亚单位原则的应用、三层重建、鼻皮肤特征以及患者因素。重建规划始于对缺损的恰当分析，随后应用重建阶梯进行软组织修复、提供足够的结构支撑以及修复鼻内衬缺损。最佳的重建方法取决于缺损的位置和大小。最后，通过皮肤磨削术、瘢痕修复和皮瓣变薄技术来完善重建效果。
