Noel Warren, Duron Jean-Brice, Jabbour Samer, Revol Marc, Mazouz-Dorval Sarra
Department of Plastic and Reconstructive Surgery, Saint Louis Hospital, Paris, France.
Department of Plastic and Reconstructive Surgery, Faculty of Medicine Saint-Joseph University Hotel Dieu de France Hospital, Beirut, Lebanon.
J Plast Reconstr Aesthet Surg. 2018 Apr;71(4):548-556. doi: 10.1016/j.bjps.2017.10.001. Epub 2017 Oct 17.
The three-stage folded forehead flap (FFF) proved to be a simple and readily available method of lining replacement. To date, no clinical trial has evaluated the outcomes of the FFF on the nose shape and function.
Patients undergoing a full-thickness unilateral alar reconstruction with a forehead flap between January of 2010 and December of 2015 were included for analysis. Patients were divided into two groups: The FFF group included patients that had a unilateral alar reconstruction using a three-stage FFF; the standard forehead flap (SFF) group included patients that had a reconstruction using a two-stage forehead flap in combination with another method for lining reconstruction. The following objective measurements were performed: the alar thickness, nostril and hemi-nose areas, and nostril height. Subjective evaluation of the results was performed using the NAFEQ score. Independent raters also evaluated the appearance of the nose.
Thirty-one patients were included: 15 in the FFF group and 16 in the SFF group. In both groups, the reconstructed ala was thicker than that on the normal side, the reconstructed nostril was smaller than the normal nostril, and the reconstructed hemi-nose was bigger than the normal side. Moreover, 84% of the patients were satisfied with their total nasal functioning. All the patients were satisfied with their total nasal appearance.
The FFF showed objective, subjective, aesthetic, and functional results comparable to other lining reconstruction techniques.
三阶段折叠前额皮瓣（FFF）被证明是一种简单且易于应用的衬里替代方法。迄今为止，尚无临床试验评估FFF对鼻外形和功能的效果。
纳入2010年1月至2015年12月期间接受前额皮瓣全层单侧鼻翼重建的患者进行分析。患者分为两组：FFF组包括使用三阶段FFF进行单侧鼻翼重建的患者；标准前额皮瓣（SFF）组包括使用两阶段前额皮瓣联合另一种衬里重建方法进行重建的患者。进行了以下客观测量：鼻翼厚度、鼻孔和半鼻面积以及鼻孔高度。使用NAFEQ评分对结果进行主观评估。独立评估者也对鼻子外观进行了评估。
共纳入31例患者：FFF组15例，SFF组16例。两组中，重建侧鼻翼均比正常侧厚，重建侧鼻孔小于正常鼻孔，重建侧半鼻大于正常侧。此外，84%的患者对其鼻腔整体功能满意。所有患者对其鼻子整体外观均满意。
FFF在客观、主观、美学和功能方面的结果与其他衬里重建技术相当。
