Ding J H, Su F R
Department of Otolaryngology Head and Neck Surgery, Shandong People's Armed Police Corps Hospital, Jinan, 250014, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Nov 20;31(22):1753-1755. doi: 10.13201/j.issn.1001-1781.2017.22.012.
To observed the application of expanded pedicle forehead flap in nasal defect. Totally 11 whole nasal defect cases in our department from June 2010 to March 2016 were treated with the expanded pedicle forehead flap. Regular follow-up was performed after operation to observe the survival condition of flaps, shape, color, texture and scar in donor site after nasal repair. The expanded pedicle forehead flap and transplantation of autologous costal cartilage nasal stents were all survived, the reconstruction nasal shape was satisfied. After 1-5 years follow up, the repair using expanded forehead flap had a good color with enough blood supply, and the nasal ventilation function is well. There was only one linear scar leaved in donor site. Application of the expanded pedicle forehead flap is a good mothed for the treatment of whole nasal defect.
观察扩张带蒂额部皮瓣在鼻缺损修复中的应用效果。2010年6月至2016年3月，我科共11例全鼻缺损患者采用扩张带蒂额部皮瓣修复。术后定期随访，观察皮瓣存活情况、鼻修复后外形、色泽、质地及供区瘢痕情况。扩张带蒂额部皮瓣及自体肋软骨鼻支架移植均存活，鼻外形修复满意。随访1 - 5年，额部扩张皮瓣修复后的鼻外形色泽良好，血运充足，鼻腔通气功能良好。供区仅遗留一条线状瘢痕。扩张带蒂额部皮瓣修复全鼻缺损是一种较好的方法。
