Department of Surgery, Mercer University School of Medicine, Macon, Georgia.
Division of Dermatology, Department of Internal Medicine, Mercer University School of Medicine, Macon, Georgia.
Dermatol Surg. 2020 Jul;46(7):899-903. doi: 10.1097/DSS.0000000000002151.
Reconstruction of large nasal surgical defects often warrant the use of mucosal flaps to repair the inner lining. This often presents a challenge for surgical reconstruction.
To describe a unique reconstructive option for the repair of large surgical wounds that necessitate mucosal nasal lining.
This study is a retrospective review of 10 patients who underwent surgical reconstruction of large nasal and/or heminasal surgical defects following Mohs micrographic surgery. A nasolabial turnover interpolation flap was used to repair missing nasal mucosal lining, coupled with a cutaneous flap which typically involved a paramedian forehead flap. The duration of follow-up was 8 months. An aesthetic and functional surgical outcomes measure was used to assess the final repair.
Favorable aesthetic outcomes were obtained in all patients and without need of revision surgery by the use of a nasolabial turnover interpolation flap.
The nasolabial turnover interpolation flap offers a reliable and effective method of repair for large transmural nasal surgical wounds. We typically paired this nasal lining flap with a paramedian forehead flap with reliable and aesthetic outcomes. This technique is straightforward, reproducible, and with both good aesthetic and functional outcomes.
重建大型鼻外科缺损通常需要使用粘膜瓣来修复内层。这在外科重建中常常是一个挑战。
描述一种独特的重建方法，用于修复需要鼻粘膜衬里的大型外科伤口。
这是一项对 10 例接受Mohs 显微外科手术后大型鼻和/或半鼻外科缺损修复的患者进行的回顾性研究。使用鼻唇翻转插入瓣来修复缺失的鼻粘膜衬里，同时使用皮瓣，通常涉及正中额瓣。随访时间为 8 个月。采用美学和功能手术结果测量来评估最终修复效果。
所有患者均获得了良好的美学效果，无需使用鼻唇翻转插入瓣进行修复手术。
鼻唇翻转插入瓣为大穿壁性鼻外科伤口的修复提供了一种可靠有效的方法。我们通常将这种鼻衬里瓣与正中额瓣结合使用，可获得可靠且美观的效果。该技术简单、可重复，具有良好的美学和功能效果。
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