From the Division of Dermatology, Houston Methodist Hospital; and DermSurgery Associates.
Plast Reconstr Surg. 2021 Jan 1;147(1):169-175. doi: 10.1097/PRS.0000000000007501.
The purpose of this study was for the authors to describe their patient selection, surgical technique, and results with the alar rotation flap for surgical defects of the nasal ala.
The authors performed a retrospective analysis of all alar rotation flaps performed between June of 2006 and February of 2019. Three hundred ninety-four patients were identified, and follow-up encounters were reviewed to assess for complications and need for revision procedures.
The alar rotation flap was performed on 394 patients over a 13-year period. The mean defect size was 9.3 ± 2.8 mm by 7.2 ± 2.3 mm. Three hundred nineteen patients (81 percent) were evaluated postoperatively, with a mean average duration of follow-up of 2.3 years (range, 6 days to 11.9 years). Complications included hemorrhagic crust along the incision line [n = 9 (3 percent)], flap edema [n = 7 (2 percent)], internal nasal valve dysfunction [n = 3 (1 percent)], depressed surgical scar [n = 2 (1 percent)], hematoma [n = 1 (0.5 percent)], and paresthesia [n = 1 (0.5 percent)].
The alar rotation flap is a reliable one-stage flap for small- to medium-size partial-thickness defects of the nasal ala that can produce topographic restoration with minimal risk of aesthetic or functional complication.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
本研究的目的是描述作者在鼻翼旋转皮瓣修复鼻翼部分缺损中的患者选择、手术技术和结果。
作者对 2006 年 6 月至 2019 年 2 月期间进行的所有鼻翼旋转皮瓣进行了回顾性分析。共确定了 394 例患者，并对随访情况进行了评估，以评估并发症和需要进行修复手术的情况。
在 13 年期间，对 394 例患者进行了鼻翼旋转皮瓣手术。缺损大小平均为 9.3 ± 2.8mm×7.2 ± 2.3mm。319 例患者（81%）接受了术后评估，平均随访时间为 2.3 年（范围：6 天至 11.9 年）。并发症包括切口线处的血性结痂（9 例，3%）、皮瓣水肿（7 例，2%）、内鼻阀功能障碍（3 例，1%）、手术瘢痕凹陷（2 例，1%）、血肿（1 例，0.5%）和感觉异常（1 例，0.5%）。
鼻翼旋转皮瓣是一种可靠的一期皮瓣，适用于鼻翼小至中等大小的部分厚度缺损，可以在最小的美学或功能并发症风险下实现解剖学重建。
临床问题/证据水平：治疗，IV。
