[局部皮瓣在二期鼻再造鼻翼调整中的应用]
[Application of local skin flaps in adjustment of reconstructed nasal alars at second stage].
作者信息
Jiang Zhiyuan, You Xiaobo, Cai Zhen, Liu Quan, Tang Kuangyun, Zhang Han, Cui Wei, Chen Zaihong, Luo Shan
机构信息
Graduate School of Southwest Medical University, Luzhou Sichuan, 646000, P.R.China;Department of Plastic Surgery, Sichuan Provincial People's Hospital & Sichuan Academy of Medical Sciences, Chengdu Sichuan, 610072, P.R.China.
Graduate School of Southwest Medical University, Luzhou Sichuan, 646000, P.R.China;Department of Plastic Surgery, Sichuan Provincial People's Hospital & Sichuan Academy of Medical Sciences, Chengdu Sichuan, 610072,
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Jan 15;32(1):55-58. doi: 10.7507/1002-1892.201707113.
OBJECTIVE
To investigate the effectiveness of local skin flaps such as V-Y advancement flap (V-Y plasty) and transposition flap (Z plasty) in the adjustment of reconstructed nasal alars at second stage.
METHODS
Between June 2012 and January 2017, 14 cases of reconstructed nasal alars by nasolabial flap or expanded forehead flap were recruited. There were 9 males and 5 females with an average age of 34.8 years (range, 18-52 years). The interval time between one- and two-stage operations was 1-12 months (mean, 3 months). The type of local skin flap was decided according to the flaws of reconstructed nasal alars. V-Y plasty was used in 5 cases, Z plasty in 2 cases, and V-Y plasty combined with Z plasty in 7 cases.
RESULTS
All operations were successfully completed. The flaps in 3 cases suffered from epidermal necrosis at the far end and healed by dressing change. The other wounds healed by first intention. All 14 cases were followed up 6-40 months (mean, 12 months). The nasal alars had verisimilar shape and symmetrical appearance. The color and texture of reconstructed nasal alar were closed to peripheral tissues.
CONCLUSION
Applying local skin flaps such as V-Y plasty and Z plasty can acquire a better shape in the adjustment of reconstructed nasal alars.
目的
探讨V-Y推进皮瓣（V-Y成形术）和移位皮瓣（Z成形术）等局部皮瓣在二期重建鼻翼调整中的有效性。
方法
选取2012年6月至2017年1月间14例采用鼻唇沟皮瓣或额部扩张皮瓣重建鼻翼的患者。其中男性9例，女性5例，平均年龄34.8岁（范围18 - 52岁）。一期与二期手术间隔时间为1 - 12个月（平均3个月）。根据重建鼻翼的缺陷决定局部皮瓣类型。5例采用V-Y成形术，2例采用Z成形术，7例采用V-Y成形术联合Z成形术。
结果
所有手术均顺利完成。3例皮瓣远端出现表皮坏死，经换药愈合。其他伤口均一期愈合。14例患者均获随访6 - 40个月（平均12个月）。鼻翼外形逼真，外观对称。重建鼻翼的颜色和质地与周围组织相近。
结论
应用V-Y成形术和Z成形术等局部皮瓣在重建鼻翼调整中可获得较好的外形。
Zotero 插件