Iacobucci J J, Stevenson T R
Ann Plast Surg. 1987 Jun;18(6):550-1. doi: 10.1097/00000637-198706000-00016.
The patient with a through-and-through defect of the nose suffers from a loss of skin, subcutaneous tissue, cartilage, and nasal lining. Repair of this defect is generally directed toward restoring the components of skin and lining. The forehead flap is a useful substitute for nasal skin. A full-thickness skin graft may be used to substitute for absent nasal mucosa and serve as a lining for the forehead flap, covering its deep surface and retarding wound contracture. In the case presented, firm contact was maintained between the forehead flap and its full-thickness graft lining using a bolster dressing of simple design. We believe this dressing discourages seroma and hematoma formation while maintaining contact between the graft and the vascularized flap bed.
患有鼻贯通性缺损的患者会出现皮肤、皮下组织、软骨和鼻黏膜的缺失。这种缺损的修复通常旨在恢复皮肤和黏膜成分。额部皮瓣是鼻皮肤的一种有用替代物。全厚皮片可用于替代缺失的鼻黏膜，并作为额部皮瓣的衬里，覆盖其深层表面并延缓伤口挛缩。在本病例中，使用设计简单的加压敷料使额部皮瓣与其全厚移植衬里保持紧密接触。我们认为这种敷料可减少血清肿和血肿的形成，同时保持移植片与血管化皮瓣床之间的接触。
