Zuo Jinfu, Wang Rong, Fan Xiaoting, Zhang Haixia, Zhai Zhaohui, Sun Huachang
Department of Plastic and Reconstructive Surgery, Zibo Central Hospital, Zibo, China.
Institute of Plastic Surgery, Shandong Second Medical University, Weifang, China.
Front Surg. 2024 Sep 13;11:1440418. doi: 10.3389/fsurg.2024.1440418. eCollection 2024.
The aim of this report was to evaluate the efficacy of nasal reconstruction using auricular cartilage combined with auricular full-thickness skin graft and a local flap from the right nasal ala for correcting complex nasal defects, and its impact on the patient's quality of life and psychological well-being. We present the case of a 50-year-old female with a severe nasal deformity due to a car accident, characterized by a missing right alar flap and an exposed right nostril. The patient underwent nasal reconstructive surgery using auricular cartilage combined with an auricular full-thickness skin graft and a local flap from the right nasal ala. Detailed records of the patient's postoperative recovery, surgical outcomes, and satisfaction were made at follow-up. The survival rate of the grafted skin and flaps on the nasal ala, septum, and dorsum was high. The reconstructed right nasal ala closely resembled the left, and the patient was very satisfied. In patients with complex nasal deformities, nasal reconstruction using ear cartilage combined with auricular full-thickness skin grafts and local flaps can achieve satisfactory aesthetic and functional outcomes. The high level of postoperative satisfaction suggests that this technique significantly improves patients' quality of life and psychological well-being.
本报告的目的是评估使用耳廓软骨联合耳廓全厚皮片及右侧鼻翼局部皮瓣进行鼻再造以矫正复杂鼻缺损的疗效，及其对患者生活质量和心理健康的影响。我们报告一例50岁女性患者，因车祸导致严重鼻畸形，表现为右侧鼻翼瓣缺失及右侧鼻孔外露。该患者接受了使用耳廓软骨联合耳廓全厚皮片及右侧鼻翼局部皮瓣的鼻再造手术。随访时详细记录了患者的术后恢复情况、手术效果及满意度。移植于鼻翼、鼻中隔和鼻背的皮肤及皮瓣成活率高。重建后的右侧鼻翼与左侧极为相似，患者非常满意。对于复杂鼻畸形患者，使用耳软骨联合耳廓全厚皮片及局部皮瓣进行鼻再造可取得满意的美学和功能效果。术后的高满意度表明该技术显著改善了患者的生活质量和心理健康。
