Prakash Siddharth, Panda Ritesh, Kumar Vivek, Saha Shiv Shankar, Choudhary Lalit, Pandey Anurag, Reddy J Sasidhar
Department of Plastic and Cosmetic Surgery, Sir Ganga Ram Hospital, New Delhi, India.
J Cutan Aesthet Surg. 2017 Jan-Mar;10(1):22-27. doi: 10.4103/0974-2077.204576.
The excellent freedom of movement and range of this flap when based on a the nasolabial perforator flap have not been sufficiently explored. In this study, along with demonstrating the other key advantages of this flap over its traditional counterpart, we will endeavour to fill these lacunae in the available literature.
From February 2009 to February 2012, twenty patients with nasal defects were repaired with a nasolabial perforator flap in the Department of Plastic and Cosmetic Surgery at Sir Ganga Ram Hospital, New Delhi. Of these, two patients (10%) underwent the procedure bilaterally. Thus, a total of 22 nasolabial perforator flap procedures were carried out. Prospectively, collected clinical records and data of each patient were retrospectively retrieved and reviewed to study the nasal defect and surgery done.
All the twenty (100%) patients had good functional and aesthetic outcome. All patients who had nasal stenosis preoperatively had very good improvement in the patency of the nasal passages, breathing and nasal blockage with complete recovery of symptoms. The patients were entirely satisfied with the functional recovery.
The reliability and versatility of the nasolabial perforator flap exceed its recognised application in reconstruction of nasal defects and it must form a part of every plastic surgeon's armamentarium.
基于鼻唇穿支皮瓣的该皮瓣具有出色的活动自由度和范围，但尚未得到充分研究。在本研究中，除了展示该皮瓣相对于传统皮瓣的其他关键优势外，我们还将努力填补现有文献中的这些空白。
2009年2月至2012年2月，新德里甘加拉姆爵士医院整形与美容外科对20例鼻缺损患者采用鼻唇穿支皮瓣进行修复。其中，2例患者（10%）双侧接受了该手术。因此，共进行了22例鼻唇穿支皮瓣手术。前瞻性收集的每位患者的临床记录和数据被回顾性检索和审查，以研究鼻缺损情况及所做的手术。
所有20例（100%）患者均获得了良好的功能和美学效果。所有术前存在鼻狭窄的患者，鼻道通畅度、呼吸和鼻塞情况均有非常明显的改善，症状完全恢复。患者对功能恢复完全满意。
鼻唇穿支皮瓣的可靠性和多功能性超出了其在鼻缺损重建中已被认可的应用范围，它必须成为每位整形外科医生的手术器械库的一部分。
