Daniel S, Fricke K, Kitcat M
Plastic and Reconstructive Surgery Department, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK.
JPRAS Open. 2021 Jan 26;28:33-36. doi: 10.1016/j.jpra.2021.01.008. eCollection 2021 Jun.
Reconstruction following excision of skin lesions at the cosmetically sensitive junction between the alar base and upper lip continues to be challenging for surgeons. We describe an advancement flap from the nasolabial fold area to reconstruct such defects. Our case demonstrates a gentleman with a clinically diagnosed BCC between the alar base and upper lip. An advancement flap from the nasolabial area was designed to reconstruct the defect, with two Burrow's triangles excised to prevent standing cones. The scar of the two Burrow's triangles falls over the nasolabial fold, resulting in the integration of the scar within the natural line. This flap design also maintains of the level of the upper lip, the shape and position of the nostril, and minimises flattening of the philtrum. Excellent cosmetic results were seen six weeks post-op.
在鼻翼基部与上唇之间对美观要求较高的交界处进行皮肤病变切除后的重建，对外科医生来说仍然具有挑战性。我们描述了一种来自鼻唇沟区域的推进皮瓣来修复此类缺损。我们的病例展示了一位在鼻翼基部与上唇之间临床诊断为基底细胞癌的男性。设计了一个来自鼻唇区域的推进皮瓣来修复缺损，切除了两个布罗三角以防止形成皮赘。两个布罗三角的瘢痕落在鼻唇沟上，使得瘢痕融入自然纹路中。这种皮瓣设计还保持了上唇的高度、鼻孔的形状和位置，并使人中变平的程度最小化。术后六周可见极佳的美容效果。
