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采用扩张预分层额部皮瓣的多阶段鼻翼修复:病例报告

Multistage Ala Nasi Repair with an Expanded and Prelaminated Forehead Flap: A Case Report.

作者信息

Dabrosin Nina, Bjørn Stolle Lars, Hasanbegovic Emir

机构信息

Department of Plastic and Breast Surgery, Aarhus University Hospital, Denmark.

出版信息

Plast Reconstr Surg Glob Open. 2021 Sep 13;9(9):e3766. doi: 10.1097/GOX.0000000000003766. eCollection 2021 Sep.

DOI:10.1097/GOX.0000000000003766
PMID:34522564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8432640/
Abstract

An 18-year-old man presented with a fast-growing tumor of the right ala nasi. We excised the tumor and histology report revealed a keratoacanthoma with clear margins. After surgery, the patient was left with a composite defect of 3 × 2 cm. For reconstruction, we used an expanded prelaminated forehead flap with a durable cartilage graft from the ribcage and a turnover flap for inner lining. Our technique had a pleasing end result and excellent patient satisfaction.

摘要

一名18岁男性因右侧鼻翼快速生长的肿瘤前来就诊。我们切除了肿瘤,组织学报告显示为边缘清晰的角化棘皮瘤。手术后,患者留下了一个3×2厘米的复合缺损。为了进行重建,我们使用了一块预扩张的前额皮瓣,并取自肋骨的一块耐用软骨移植物以及一块翻转皮瓣用于内衬。我们的技术取得了令人满意的最终效果,患者满意度极高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b55/8432640/465f0814e2cc/gox-9-e3766-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b55/8432640/cc4a912ae647/gox-9-e3766-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b55/8432640/fed7bcd395b5/gox-9-e3766-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b55/8432640/465f0814e2cc/gox-9-e3766-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b55/8432640/cc4a912ae647/gox-9-e3766-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b55/8432640/fed7bcd395b5/gox-9-e3766-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b55/8432640/465f0814e2cc/gox-9-e3766-g003.jpg

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Multistage Ala Nasi Repair with an Expanded and Prelaminated Forehead Flap: A Case Report.采用扩张预分层额部皮瓣的多阶段鼻翼修复:病例报告
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本文引用的文献

1
A Strategy for Integrative Reconstruction of Midface Defects Using an Extended Forehead Flap.采用额部扩展皮瓣进行中面部缺损的综合重建策略
Facial Plast Surg Aesthet Med. 2021 Dec;23(6):430-436. doi: 10.1089/fpsam.2020.0484. Epub 2021 Apr 20.
2
Choosing Appropriate Technique for Nasal Reconstruction in Challenging Cases of Panfacial Burn: Treatment Algorithm.选择合适的技术进行鼻重建:全面部烧伤的挑战性病例的治疗算法。
J Burn Care Res. 2021 Nov 24;42(6):1215-1226. doi: 10.1093/jbcr/irab036.
3
Management of Complicated Nasal Defects.
复杂鼻缺损的处理
Facial Plast Surg. 2020 Apr;36(2):158-165. doi: 10.1055/s-0040-1709141. Epub 2020 May 15.
4
Use of a helical composite free flap for alar defect reconstruction with a supermicrosurgical technique.采用超显微外科技术的螺旋复合游离皮瓣修复鼻翼缺损
Arch Plast Surg. 2018 Sep;45(5):466-469. doi: 10.5999/aps.2017.01270. Epub 2018 Sep 15.
5
Nasal reconstruction after malignant tumor resection: an algorithm for treatment.鼻腔恶性肿瘤切除术后的重建:一种治疗算法。
Plast Reconstr Surg. 2010 Jul;126(1):97-105. doi: 10.1097/PRS.0b013e3181da872e.
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Complications with forehead flaps in nasal reconstruction.鼻再造术中额部皮瓣的并发症
Laryngoscope. 2009 Jun;119(6):1093-9. doi: 10.1002/lary.20243.
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Optimal use of microvascular free flaps, cartilage grafts, and a paramedian forehead flap for aesthetic reconstruction of the nose and adjacent facial units.微血管游离皮瓣、软骨移植及正中旁前额皮瓣在鼻及相邻面部单位美学重建中的优化应用。
Plast Reconstr Surg. 2007 Oct;120(5):1171-1207. doi: 10.1097/01.prs.0000254362.53706.91.
8
Three-dimensional nasal reconstruction using a prefabricated forehead flap: case report.使用预制额部皮瓣进行三维鼻再造:病例报告
Aesthetic Plast Surg. 2008 Jan;32(1):166-71. doi: 10.1007/s00266-007-9026-5. Epub 2007 Sep 1.
9
A new modified method for nasal lining: the Menick technique for folded lining.一种新的鼻黏膜改良方法:梅尼克折叠黏膜技术。
J Surg Oncol. 2006 Nov 1;94(6):509-14. doi: 10.1002/jso.20488.
10
A 10-year experience in nasal reconstruction with the three-stage forehead flap.应用三期前额皮瓣进行鼻再造的10年经验
Plast Reconstr Surg. 2002 May;109(6):1839-55; discussion 1856-61. doi: 10.1097/00006534-200205000-00010.