Mendelson B C, Masson J K, Arnold P G, Erich J B
Mayo Clin Proc. 1979 Feb;54(2):91-6.
Flap reconstruction of the nose is historically one of the earliest surgical operations. In spite of this long experience, little has been reported on the viability and durability of the various flaps and the time involved in the reconstruction, including the number of operative procedures required for total reconstruction of the nose. One hundred eighty patients were involved in this retrospective study dating from 1940. The midline forehead flap, used for partial nasal reconstruction, was specifically excluded from this study and will be reported separately later. The arm flap (Tagliacozzi), the total forehead flap, the sickle flap, and the acromiopectoral flap are reviewed in terms of the complications encountered, the total number of operations required, and the time involved in the complete reconstruction. The various nasal defects have been classified into five types, and the flaps usually used for reconstruction have been correlated with these defects. Eighty percent of the patients were treated because of a cutaneous malignancy of the nose. However, because these malignancies are currently being treated earlier and more efficiently, there is a significant decrease in present-day experience with this type of surgery.
鼻部皮瓣重建术在历史上是最早的外科手术之一。尽管有如此悠久的经验，但关于各种皮瓣的存活能力和耐久性以及重建所需时间，包括鼻部完全重建所需的手术程序数量，报道却很少。这项回顾性研究涉及自1940年以来的180例患者。用于部分鼻重建的中线额部皮瓣被特意排除在本研究之外，稍后将单独报告。本文从所遇到的并发症、所需的手术总数以及完全重建所需的时间等方面，对臂部皮瓣（塔利亚科齐氏皮瓣）、全额部皮瓣、镰刀状皮瓣和肩胸皮瓣进行了综述。各种鼻缺损已被分为五种类型，通常用于重建的皮瓣已与这些缺损相关联。80%的患者因鼻部皮肤恶性肿瘤接受治疗。然而，由于目前对这些恶性肿瘤的治疗更早且更有效，如今这类手术的经验显著减少。
