CAJ | 학술논문

目的探讨额、面颊及前臂部的扩张皮瓣同期修复鼻及上唇缺损的手术方法及效果.方法分别采用额、面颊、前臂部扩张皮瓣同期完成鼻及上唇缺损的再造与修复术.手术治疗全程共分3个阶段:扩张器置入,一般额和前臂部分别置入170、200 ml圆柱形扩张器,面颊为140 ml圆形扩张器；扩张皮瓣带蒂转移,须确保皮瓣包括主要血管和分支血管在内；皮瓣断蒂修整,最好于4～5周后断蒂效果佳.结果 7例患者均用此方法修复再造鼻、上唇缺损.术后外形良好、对称,所有皮瓣全部成活,男患者额部皮瓣远端带有部分头皮,可再造上唇及胡须,外形及功能更加逼真,患者满意,经0.5～5.0年随访,功能、形态均良好.结论额、面颊及前臂部扩张皮瓣是鼻、上唇组织缺损同期再造与修复的较为理想方法.
목적 탐토액、면협급전비부적확장피판동기수복비급상진결손적수술방법급효과.방법 분별채용액、면협、전비부확장피판동기완성비급상진결손적재조여수복술.수술치료전정공분3개계단:확장기치입,일반액화전비부분별치입170、200 ml원주형확장기,면협위140 ml원형확장기；확장피판대체전이,수학보피판포괄주요혈관화분지혈관재내；피판단체수정,최호우4～5주후단체효과가.결과 7례환자균용차방법수복재조비、상진결손.술후외형량호、대칭,소유피판전부성활,남환자액부피판원단대유부분두피,가재조상진급호수,외형급공능경가핍진,환자만의,경0.5～5.0년수방,공능、형태균량호.결론 액、면협급전비부확장피판시비、상진조직결손동기재조여수복적교위이상방법.
Objective To investigate the operative technique and outcome of the expanded flap to repair the full thickness defects of nose and upper lip simultaneously.Methods Three kinds of ex panded flaps were chosen to reconstruct the full thickness defects of nose and upper lip.They were designed according to the location and the size of the defects,and also the circumstances of the donor site.Treatment effectiveness were observed by long-term follow-up.Results 7 patients were treated with the expanded flap.All cases received satisfactory results with no complications such as flap necrosis.And for male patients,the frontal expanded flap could reconstruct upper lip and beard simultaneously that reached better shape.Conclusions It is an ideal approach of repairing nasal-lip defects by the tissue expanded flap.