Wen Guangdong, Mao Dandan, Zhu Mengyi, Hu Jian, Yao Xueyan, Zhang Jianzhong
Department of Dermatology, Peking University People's Hospital, Beijing, People's Republic of China.
Clin Cosmet Investig Dermatol. 2022 Oct 10;15:2165-2168. doi: 10.2147/CCID.S361662. eCollection 2022.
To investigate the cosmetic outcomes of secondary intention healing of small (<1.5cm) nasal ala and tip defects.
From August 2017 to October 2020, 42 patients with nasal reconstructions using secondary intention healing were included. Defects after excision ranged from 0.5cm×0.7cm to 1.2cm×1.5cm in size. Foam dressing covering the wounds was changed every 3 to 5 days. Wound esthetic outcomes were graded as excellent, good, acceptable, and poor based on definitions described in the literature.
All 42 wounds healed in 3 to 4 weeks, with uniform color, no obvious adverse reactions and high patient satisfaction. Esthetic evaluation: 16 excellent cases (38.1%), 19 good cases (45.2%), 7 acceptable cases (16.7%) and 0 poor cases.
Secondary intention healing of small nasal tip and ala defects in Chinese yielded satisfactory esthetic outcomes and should be an integral part of the surgeon's reconstructive algorithm.
探讨小面积（<1.5cm）鼻翼和鼻尖缺损二期愈合的美容效果。
纳入2017年8月至2020年10月期间42例行二期愈合鼻再造术的患者。切除术后缺损大小为0.5cm×0.7cm至1.2cm×1.5cm。覆盖伤口的泡沫敷料每3至5天更换一次。根据文献中描述的定义，将伤口美学效果分为优、良、可、差四个等级。
42处伤口均在3至4周内愈合，颜色均匀，无明显不良反应，患者满意度高。美学评价：优16例（38.1%），良19例（45.2%），可7例（16.7%），差0例。
中国患者小面积鼻尖和鼻翼缺损的二期愈合取得了满意的美容效果，应成为外科医生重建手术方案的重要组成部分。
