鼻翼重建综合算法：耳郭复合组织移植的效用

Chen Collin, Patel Ruchin, Chi John

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology- Head and Neck Surgery, Washington University in Saint Louis School of Medicine, St. Louis, Missouri.

Surg J (N Y). 2018 Apr 18;4(2):e55-e61. doi: 10.1055/s-0038-1639581. eCollection 2018 Apr.

Defects of the nasal ala are challenging to reconstruct, given its complex three-dimensional structure. Successful repair of these defects needs to provide aesthetic symmetry and preserve nasal function. A wide variety of reconstructive options have been described for nasal ala defects, ranging from skin grafts to locoregional flaps, and also includes the auricular composite graft. However, there are currently no comprehensive guidelines for nasal ala repair, and the versatile role of the auricular composite graft has not been well defined. In this review, we aim to provide a comprehensive algorithm to guide repair of nasal ala defects. Additionally, we compare our experience using the auricular composite graft with the available literature to better define its utility in nasal ala repair.

鼻翼缺损的修复颇具挑战性，因其三维结构复杂。成功修复这些缺损需要实现美学对称并保留鼻腔功能。针对鼻翼缺损，已有多种重建方法，从皮肤移植到局部皮瓣，还包括耳郭复合组织移植。然而，目前尚无关于鼻翼修复的全面指南，耳郭复合组织移植的多种作用也尚未明确界定。在本综述中，我们旨在提供一种全面的算法来指导鼻翼缺损的修复。此外，我们将使用耳郭复合组织移植的经验与现有文献进行比较，以更好地明确其在鼻翼修复中的效用。