Snow S N
Department of Surgery, University of Wisconsin Medical School, Madison, USA.
Dermatol Surg. 1997 Oct;23(10):916-9. doi: 10.1111/j.1524-4725.1997.tb00748.x.
Skin cancer involving the nasal tip is fairly common. The repair of these nasal tip defects is often a challenging opportunity. The current range of reconstructive techniques include partial closure and second intention healing to skin grafts and midline forehead flaps.
Here we present an interesting method of nasal tip repair harvesting a rotation flap that uses adjacent skin from lateral and upper bridge of nose.
Using three case studies examples of the rotation flap are demonstrated to reconstruct the nasal tip defects following Mohs surgery for skin cancer.
For medium size defects of up to 1 cm in diameter, rotation flaps offer an alternative surgical one-stage method of reconstruction of the nasal tip in selected cases.
Satisfactory results can often be achieved with a modest amount of planning, intra-, and postoperative care. Rotation flaps possess a circular configuration that allow recapitulation of the natural creases and contours of nasal tip anatomy resulting in aesthetic repairs.
鼻尖部皮肤癌相当常见。修复这些鼻尖缺损往往是一项具有挑战性的工作。目前的重建技术范围包括部分闭合、二期愈合、皮肤移植以及中线前额皮瓣。
在此，我们介绍一种有趣的鼻尖修复方法，即采用旋转皮瓣，该皮瓣取自鼻外侧和鼻背上方的相邻皮肤。
通过三个病例研究展示旋转皮瓣用于修复皮肤癌Mohs手术后鼻尖缺损的情况。
对于直径达1厘米的中等大小缺损，在特定病例中，旋转皮瓣提供了一种替代性的一期手术重建鼻尖的方法。
通过适度的术前规划、术中及术后护理，通常可取得满意的效果。旋转皮瓣呈圆形结构，能够重现鼻尖解剖结构的自然褶皱和轮廓，从而实现美观的修复。
