用于修复全鼻翼缺损的额鼻皮瓣
Frontonasal flap for reconstruction of complete alar defects.
作者信息
Kurata S, Hashimoto H, Terashi H, Tadokoro T, Ishii Y, Shibuya H, Sato H, Kudo Y, Takayasu S
机构信息
Department of Dermatology, Oita Medical University, Japan.
出版信息
Dermatol Surg. 1996 Oct;22(10):850-2. doi: 10.1111/j.1524-4725.1996.tb00587.x.
BACKGROUND
It is difficult to reconstruct a satisfactory ala. Axial frontonasal flap has been common in reconstruction of nasal tip. We modified this flap to reconstruct nasal ala.
OBJECTIVE
A modified axial frontonasal flap was applied for reconstruction of complete unilateral alar defects in two patients.
METHODS
Skin from an intact nasal tip covered the alar defect. The resulting defect in the nasal tip was covered with dorsal skin from the nose. Extended mucosa or a hinged nasolabial flap was used to line the mucosal side of the reconstructed ala.
RESULTS
The outcome judged by shape, and texture, was satisfactory. This technique can be employed under field block.
CONCLUSION
The modified frontonasal flap is one of the ideal techniques to reconstruct an entire nasal ala.
背景
重建一个令人满意的鼻翼很困难。轴型额鼻皮瓣在鼻尖重建中已很常见。我们对该皮瓣进行改良以重建鼻翼。
目的
应用改良的轴型额鼻皮瓣对2例患者的单侧完全性鼻翼缺损进行重建。
方法
用完整鼻尖的皮肤覆盖鼻翼缺损。鼻尖产生的缺损用鼻部的背侧皮肤覆盖。用延长的黏膜或带蒂鼻唇沟皮瓣衬里重建鼻翼的黏膜面。
结果
从外形和质地判断，效果令人满意。该技术可在局部阻滞麻醉下应用。
结论
改良额鼻皮瓣是重建整个鼻翼的理想技术之一。
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