Basiari Lentiona, Michali Maria C, Komnos Ioannis D, Georgolios Alexandros, Tsoumani Victoria, Bizoglou Magdalini, Simou Dimitra G, Psychogios Georgios V
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Ioannina, Ioannina, GRC.
Department of Otolaryngology, Head and Neck Surgery, University hospital of Ioannina, Ioannina, GRC.
Cureus. 2025 Apr 23;17(4):e82841. doi: 10.7759/cureus.82841. eCollection 2025 Apr.
The nose occupies the central position on the face and may be the most difficult facial feature to reconstruct due to its complex anatomy and function. Cancer resection and trauma are the most common causes of nasal defects. The goal in such cases is to select the most appropriate option for a given defect to preserve nasal function and to achieve the best aesthetic outcome. The most important aspect of a successful reconstruction is preoperative planning. Although small defects may only require a single procedure and primary closure might be an option, multiple procedures are typically needed to reconstruct a more extensive defect to prevent nasal distortion or collapse. Locoregional flaps are the first choice for reconstruction as they use nearby tissue, providing an excellent color and texture match with the best results. The objective of this article is to engage in a review of the most common locoregional flaps used to reconstruct cutaneous nasal defects. We analyze the most commonly used locoregional flaps, as well as their advantages and disadvantages.
鼻子位于面部中央，因其复杂的解剖结构和功能，可能是最难重建的面部特征。癌症切除和外伤是鼻缺损最常见的原因。在这些情况下，目标是为特定缺损选择最合适的方案，以保留鼻功能并实现最佳美学效果。成功重建的最重要方面是术前规划。虽然小缺损可能只需要一次手术，一期缝合可能是一种选择，但通常需要多次手术来重建更广泛的缺损，以防止鼻子变形或塌陷。局部皮瓣是重建的首选，因为它们使用附近的组织，提供了极佳的颜色和质地匹配，效果最佳。本文的目的是对用于重建鼻皮肤缺损的最常见局部皮瓣进行综述。我们分析了最常用的局部皮瓣及其优缺点。
