额部扩张皮瓣法半鼻再造术修复部分鼻缺损.pdfVIP

中国美容医学2011年9月第2O卷第9期 ChineseJournalofAestheticMedicine．Sep．2011．Vo1．20．No．9 1327 · · 眼耳鼻美容 · 论著 · 额部扩张皮瓣法半鼻再造术修复部分鼻缺损 于晓波，赵延勇，蒋海越，潘 博，范 飞，庄洪兴，姬东硕 (北京协和医学院 ·中国医学科学院·整形外科医院整形七科 北京 100144) [摘要]目的：探讨应用扩张额部皮瓣行半鼻再造术修复部分鼻缺损的效果。方法：2008年6月～2010年 12月，收治部分鼻缺损 患者 5例，男1例，女4例，均采用额部扩张皮瓣法半鼻再造术修复。手术分3期进行：I期行额部额肌下扩张器置入术皮肤扩 张；II期行额部扩张皮瓣转移半鼻再造术；III期行鼻根部皮瓣断蒂修整术。结果：术后患者均愈合良好，无明显并发症发生。5例 患者均获随访，随访时间6月一1年。再造鼻形态满意，颜色、质地与周围皮肤较为匹配，额部供区无明显瘢痕及畸形。结论：额 部扩张皮瓣法行半鼻再造术修复鼻缺损，手术方法简单可靠，术后效果满意。 [关键词]鼻缺损；额部扩张皮瓣；鼻再造； [中图分类号]R622 [文献标识码]A [文章编号]1008—6455(2011)09—1327-03 Halfnasalreconstructionusingexpandedforeheadskinflapforrepairingpartialnosedefect YUXiao—boZHAOYan—yongfJIANG Hal—yuefPAN BoFAN FeifZHUANG Hong-xing。JIDong-shuo (The7thDepartment，PlasticSurgeryHospital，PekingUnionMedicalCollege，ChineseAcademyofMedicalScience， Beijing100144，China) Abstract：Objective Toexploretheresultofthemethodofhalfnosereconstructionusinganexpandedforeheadflap forrepairingnosedefect．M ethods From June2008toDecember2010，5patientsincluding 1maleand4femalewith partialnose defectwere treated with {he method．The techniqueconsists ofthree stages：Tissue expanderswere implanted underthe muscleofforeheadand extendedforehead skinexpansion，single-stagenasalcontouringwith expanded forehead skin flap rotation．and pedicle restoration． Results Allpatients healed withoutobvious complications．AII5patientshavebeenfoIlowedfn3m 6monthsto 1year．TherecOnsfructed noseshadsatisfactory shapeandgoodmatchtoadjacentskinincolorandtexture．Therewerenoobviousscaranddeformityinthedonorsite offorehead．Conclusion ThehalfnoserecOnstructi0nusingexpandedforeheadskinflapforrepairingnosedefectisa simpleandreliablemethodwithsatisfactoryresult．