应用鼻唇沟皮下组织蒂岛状皮瓣修复鼻部皮肤肿瘤切除后创面应用鼻唇沟皮下组织蒂岛状皮瓣修复鼻部皮肤肿瘤切除后创面.pdfVIP

中国美容医学2015 年1 月第24 卷第1 期 Chinese Journal of Aesthetic Medicine.Jan.2015.Vol.24.No.1 15 ·眼耳鼻美容· ·论著· 用鼻唇沟皮下组织蒂岛状皮瓣修复鼻部皮肤肿瘤切除后创面 郑厚兵，王 彪，黄循镭，王美水，单秀英，刘照亮 （福建医科大学附属第一医院整形美容外科 福建 福州 350005） [摘要]目的：介绍应用鼻唇沟皮下组织带蒂岛状皮瓣进行鼻部皮肤肿瘤手术切除后创面修复的安全性、操作 要点、临床体会及手术疗效。方法：针对不同性质的鼻部皮肤肿瘤尤其是恶性肿瘤，当范围超 10mm，应用鼻 唇沟皮下组织蒂岛状皮瓣进行鼻部手术创面的修复，供区鼻唇沟切口直接拉拢缝合。结果：对15 例病例应 用此方法治疗，均取得了满意的手术效果，皮瓣全部成活，术后鼻部瘢痕不明显，外观无变形，供区鼻唇沟无 明显瘢痕增生。结论：鼻部皮肤肿瘤（＞10mm）无法直接切除拉拢缝合关闭创面，应用鼻唇沟皮下组织蒂岛状 皮瓣进行创面修复，取得良好的手术效果。手术创伤小、操作简单，具有较大的临床应用价值。 [关键词]皮下组织蒂皮瓣；鼻唇沟岛状皮瓣；鼻部皮肤肿瘤；修复 [中图分类号]R622 [文献标志码]A [文章编号]1008-6455（2015）01-0015-03 The application of nasolabial subcutaneous pedicle flap in reconstruction after nasal skin tumor excision ZHENG Hou-bing,WANG Biao,HUANG Xun-lei,WANG Mei-shui,SHAN Xiu-ying,LIU Zhao-liang (Department of Plastic and Aesthetic Surgery,The First Affiliated Hospital of Fuj ian Medical University, Fuzhou 350005,Fuji an,China) Abstract: Obj ective Introduction on the safety measures,essential operational procedures,clinical experience and clinical effect of nasolabial subcutaneous pedicle flap used in reconstruction after resection of nasal skin tumor. Methods Depending on the properties of nasal skin tumor,especially the malignant tumor,with an affected area over 10mm,using nasolabial subcutaneous pedicle island flap have further advanced our ability to provide reconstructive options,the donor site of the nasolabial fold can hereafter be addressed directly with surgical sutures. Results In all of the 15 cases have achieved satisfactory results,evaluation on survival of the flaps are all intact and desirable.Leaving no obvious deformation nor scar formation in the nose region and the donor site. Conclusion After removal of nasal ski