Rudy Shannon F, Moyer Jeffrey S
Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor.
Facial Plast Surg. 2020 Feb;36(1):84-90. doi: 10.1055/s-0040-1701481. Epub 2020 Mar 19.
As rates of Mohs micrographic surgery (MMS) have risen over recent decades in the setting of increased incidence of nonmelanoma skin cancer, so too has the need for post-Mohs reconstruction. The nose is one of the most common sites of post-MMS nasal reconstruction and presents unique challenges that often require expertise in facial plastic and reconstructive surgery. In addition to the aesthetic importance of the nose, preserving nasal function and preventing nasal obstruction are paramount to successful nasal reconstruction. This article will provide a brief review of nasal anatomy, with a focus on particular anatomic risk factors for post-MMS reconstruction nasal obstruction, strategies to prevent nasal obstruction, as well as techniques to correct the problem when it arises.
在近几十年中，随着非黑色素瘤皮肤癌发病率的上升，莫氏显微外科手术（MMS）的实施率也在增加，对莫氏手术后重建的需求同样如此。鼻子是莫氏手术后鼻部重建最常见的部位之一，存在独特的挑战，通常需要面部整形和重建外科方面的专业知识。除了鼻子在美学上的重要性外，保留鼻腔功能和防止鼻塞对于成功的鼻部重建至关重要。本文将简要回顾鼻腔解剖结构，重点关注莫氏手术后重建鼻塞的特定解剖风险因素、预防鼻塞的策略以及问题出现时纠正该问题的技术。
