Sun Xiaoqiang, Sun Libo, Wang Changmi, Zhang Chunfeng, Liang Yunhong
Departmentof Otolaryngology-Head and Neck Surgery，Luzhou People's Hospital，Luzhou，646000，China.
Departmentof Stomatology，Luzhou People's Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Sep;38(9):853-856. doi: 10.13201/j.issn.2096-7993.2024.09.015.
To investigate the therapeutic effect of free forearm flaps in repairing the postoperative defect of external nasal malignant tumor. Six patients with nasal malignant tumor were treated with radical operation of external nasal malignant tumor and simultaneous reconstruction of external nasal defects with free forearm flap. Preoperative Allen experiment, ultrasonic Doppler blood flow meter or CT angiography confirmed that the forearm blood vessels were in good condition. The free forearm flaps were obtained from six patients, and completely survived. During the follow-up period of 6-12months, all patients had good external nasal morphology, good nasal function, no nasal obstruction and anterior nostril stenosis, no obvious complications in donor hand and no local cancer recurrence. The free forearm flap is a reliable method to reconstruction the postoperative defect of external nasal malignant tumor, with a high success rate and good recovery of morphology and function recovery.
探讨游离前臂皮瓣修复外鼻恶性肿瘤术后缺损的治疗效果。6例鼻恶性肿瘤患者行外鼻恶性肿瘤根治术，同期采用游离前臂皮瓣修复外鼻缺损。术前Allen试验、超声多普勒血流仪或CT血管造影证实前臂血管状况良好。6例患者的游离前臂皮瓣均成活。随访6～12个月，所有患者外鼻形态良好，鼻功能良好，无鼻塞及前鼻孔狭窄，供区手部无明显并发症，局部无癌复发。游离前臂皮瓣是修复外鼻恶性肿瘤术后缺损的可靠方法，成功率高，形态和功能恢复良好。
