Okland Tyler S, Akkina Sarah R, Perrault David, Most Sam P
Division of Facial Plastic and Reconstructive Surgery, Stanford University, Palo Alto, USA.
Division of Plastic Surgery, Stanford University, Palo Alto, USA.
Am J Otolaryngol. 2023 May-Jun;44(3):103804. doi: 10.1016/j.amjoto.2023.103804. Epub 2023 Mar 3.
Full-thickness defects of the nasal ala necessitate composite repair of the nasal lining, cartilage and soft tissue envelope. Repair of the nasal lining is particularly challenging due to access and geometry of this area.
To evaluate the melolabial flap as a single stage operation for repair of full-thickness nasal ala defects.
Retrospective study of seven adult patients with full-thickness nasal ala defects who underwent melolabial flap repair. Complications and operative technique were recorded and described.
Of the seven patients who underwent melolabial flap repair, each had excellent coverage of the defect postoperatively. There were two cases of mild ipsilateral congestion, and no revision procedures performed.
The melolabial flap is a versatile reconstructive option for repair of the internal lining of the nasal ala, and in our series there were no significant complications or revision procedures performed.
鼻翼全层缺损需要对鼻内衬、软骨和软组织包膜进行复合修复。由于该区域的手术入路和解剖结构，鼻内衬的修复极具挑战性。
评估鼻唇沟皮瓣作为修复鼻翼全层缺损的一期手术方法。
对7例接受鼻唇沟皮瓣修复的成年鼻翼全层缺损患者进行回顾性研究。记录并描述并发症及手术技术。
7例接受鼻唇沟皮瓣修复的患者术后缺损均得到良好覆盖。有2例出现轻度同侧充血，未进行修复手术。
鼻唇沟皮瓣是修复鼻翼内衬的一种多功能重建选择，在我们的系列研究中未出现明显并发症或修复手术。
