Department of Otolaryngology - Head and Neck Surgery, Cleveland Clinic Head and Neck Institute, Cleveland Clinic, A7 Crile, 9500 Euclid Avenue, Cleveland, OH 44195. USA.
Section of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, Cleveland Clinic Head and Neck Institute, Cleveland Clinic, A7 Crile, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Facial Plast Surg Clin North Am. 2024 May;32(2):239-246. doi: 10.1016/j.fsc.2024.02.001.
A successful nasal reconstruction relies heavily on a stable internal lining. Larger defects pose unique challenges for internal lining reconstruction as obtaining tissue of adequate size while maintaining airway patency is difficult. The prelamination technique uses a staged skin graft to the paramedian forehead flap prior to transfer. As such, a composite flap can be later transferred to reconstruct internal and external nasal defects concomitantly. This article reviews the current background, techniques, and clinical considerations in the use of the prelaminated forehead flap for nasal lining reconstruction in partial to total nasal defects.
成功的鼻重建术很大程度上依赖于稳定的内部衬里。较大的缺损对内衬重建提出了独特的挑战，因为在保持气道通畅的同时，获得足够大小的组织是很困难的。预层压技术在转移前使用分期皮片移植至正中额部皮瓣。因此，可以随后转移复合瓣来同时重建部分和全部鼻缺损的内外鼻衬里。本文回顾了在部分至全部鼻缺损的鼻衬里重建中使用预层压额瓣的当前背景、技术和临床注意事项。
