Haas E
HNO. 1976 Nov;24(11):403-8.
On introduction the advantages and disadvantages of forehead skin in reconstructive rhinoplasty are presented. The median frontal flap described by Kazanjian, a horizontal or slightly oblique frontal flap, the frontotemporal flap described by Schmid and the scalp flap described by Converse are discussed. After detailed description together with illustration of various techniques it is shown that each method can be used for specific indications. The choice of method by the less experienced is therefore facilitated. A. The median frontal flap is especially indicated for the grosser perforating defects of the external nose. B. The fronto-temporal flap is especially indicated for subtotal or total defects of the nasal alae, tip and columella of the younger patients who expects a good cosmetic result. C. The horizontal or slightly oblique frontal flap is especially indicated for subtotal or total defects of the nasal alae or tip of the older patient, who cannot undergo repeated surgery or prolonged hospitalisation. D. The frontal scalp flap is especially indicated for the grosser subtotal defects of the external nose.
文中介绍了额部皮肤在鼻整形修复术中的优缺点。讨论了卡赞吉安描述的正中额部皮瓣、水平或略倾斜的额部皮瓣、施密德描述的额颞部皮瓣以及康弗斯描述的头皮皮瓣。在详细描述并举例说明各种技术后，表明每种方法都可用于特定适应症。因此，便于经验较少者选择方法。A.正中额部皮瓣特别适用于外鼻较大的穿孔性缺损。B.额颞部皮瓣特别适用于期望获得良好美容效果的年轻患者鼻翼、鼻尖和鼻小柱的部分或全部缺损。C.水平或略倾斜的额部皮瓣特别适用于不能接受重复手术或长期住院的老年患者鼻翼或鼻尖的部分或全部缺损。D.额部头皮皮瓣特别适用于外鼻较大的部分缺损。
