摘要
目的探讨不同情况下鼻部分缺损的修补方法。方法介绍11例病人,男8例,女3例,平均年龄49.6岁。鼻外伤缺损8例,其中鼻翼缺损2例,鼻尖缺损3例,鼻背缺损1例,大面积缺损2例。另鼻翼基底细胞癌转前臂皮瓣修补2例,鼻背肿物切除术后鼻缺损修复1例。上述病例分别行转额部皮瓣鼻再造术,面颊二叶瓣转移修复、游离替尔氏皮瓣修复鼻尖缺损和上臂皮管修复等方法治疗。结果经临床3~7年随访,发现病人鼻修补皮瓣外形满意。以额部皮瓣和面颊二叶瓣修复色泽接近,效果佳,上臂皮管修复者色泽略白,而移植替尔皮瓣修复鼻尖色泽暗,为色素沉着所致。结论根据病人鼻缺损不同情况,选择相应修复方法,有利于病人的恢复,提高病人的生活质量。
Objective To study the recovery/repairing methods of segmental defect in different conditions. Methods We have 11 patients,8 males and 3 females,and the average age is 49.6.There are 8 nose defect patients because of surgical trauma,amang them there are 2 patients of nose defect on wings of nose,3 patients on tip of nose,1 patient on back of nose and 2 patients having a large area of nose defect.There are other 2 patients repairing the wings of the nose with the skin flap on anterior wall because of basal cell carcinoma,1 parient having recovery of segmental defect after operation of tumer on back of nose.There are many curing metheds such as reconstruction nose with transposition of flap from frontal patr,repairing nose defect with bilobate leaf from cheeks,repairing defect on tip of nose with dissociate skin flap and with leather hose from the upper arm.Results After 3-7 year following observation,we are satisfied with the shape of nose repairing skin flap.The colour and lustre of skin flap from frontal part and cheeks in similer to the nose,while the leather hose from the upper arm is a little pale and dissociate skin flap is gloomy because of pigmentation. Conclusions We should select different restoration methods according to different conditions of patients,which will do good to recovery of patients and increase the quality of life.
出处
《辽宁医学院学报》
CAS
2007年第4期56-57,共2页
Journal of Liaoning Medical University (LNMU) Bimonthly
关键词
鼻缺损
额部皮瓣
面颊二叶瓣
游离替尔氏皮片
上臂皮管
defect of nose
skin flap from frontal part
bilobate leaf from cheeks
dissociate skin flap
leather hose from the upper arm
