Department of Dermatology, Venerology and Allergy, University Medical Center Mannheim, University of Heidelberg, Manheim, Germany.
J Dtsch Dermatol Ges. 2017 Oct;15(10):981-987. doi: 10.1111/ddg.13318. Epub 2017 Aug 25.
Closure of non-full-thickness defects of the nasal ala can be a surgical challenge. While there is a plethora of various reconstructive techniques, not all of them are easy to learn and carry out. Recently, the dermatosurgeon Andreas Lösler from the Department of Dermatology at the Hornheide Medical Center, Germany, developed and published the caudolaterally inserted transposition flap for the reconstruction of alar defects. Given its relative novelty, this technique, which is characterized by a very low complication rate, is still unknown to most dermatosurgeons and has not yet found its way into standard dermatosurgery textbooks. The present review describes the caudolaterally inserted transposition flap and two modifications thereof, which allow for the closure of large alar defects as well as defects of the alar crease. Comparisons are made to the two flaps most commonly employed for alar reconstruction, the bilobed flap and the cranially inserted nasolabial transposition flap (melolabial flap).
鼻翼非全层缺损的闭合可能是一项具有挑战性的手术。虽然有大量的各种重建技术，但并非所有技术都易于学习和实施。最近，德国霍恩海德医疗中心皮肤科的 Andreas Lösler 皮肤科医生开发并发表了用于重建鼻翼缺损的尾侧插入转移皮瓣。由于其相对新颖性，这种技术的并发症发生率非常低，但大多数皮肤科医生并不了解，也尚未纳入标准的皮肤科手术教科书。本综述描述了尾侧插入转移皮瓣及其两种改良形式，可用于闭合大的鼻翼缺损以及鼻翼褶皱缺损。并与最常用于鼻翼重建的两种皮瓣（双叶皮瓣和颅侧插入鼻唇移位皮瓣（唇颊皮瓣））进行了比较。
