CAJ | 학술논문

目的：评价额皮瓣在鼻部缺损修复中的临床应用。方法：回顾性地总结12例鼻部皮肤癌接受根治性切除后应用带蒂额皮瓣修复术的临床疗效。结果：本组随访率为100%，其中10例重建鼻部虽发生轻微卷缩，但鼻外形改变不大。2例分别于术后2年或3年2个月局部复发，行局部放射治疗。放疗后重建鼻部塌陷，鼻外形发生畸形。鼻部重建成功率为83.33%。本组3年局部复发率为8.33%，5年生存率为100%，5年无瘤生存率为83.33%。结论：额皮瓣供血丰富，转移修复后愈合能力强，恢复快，手术操作简单、安全。值得在临床上推广应用。
목적：평개액피판재비부결손수복중적림상응용。방법：회고성지총결12례비부피부암접수근치성절제후응용대체액피판수복술적림상료효。결과：본조수방솔위100%，기중10례중건비부수발생경미권축，단비외형개변불대。2례분별우술후2년혹3년2개월국부복발，행국부방사치료。방료후중건비부탑함，비외형발생기형。비부중건성공솔위83.33%。본조3년국부복발솔위8.33%，5년생존솔위100%，5년무류생존솔위83.33%。결론：액피판공혈봉부，전이수복후유합능력강，회복쾌，수술조작간단、안전。치득재림상상추엄응용。
Objective: To evaluate the application of frontal flap in reconstructing the defect of nose, the clinical data of 12 cases were reported. Methods: Twelve patients with nasal skin cancers undertaking radical dissection of tumor accompanied frontal flap reconstructing one stage were reviewed retrospectively.Results: The overall following\|up rate was 100%, 10 of these patients curled slightly after reconstructing the nose, but influence of the nasal outline was little. Two cases were recurrent locally, one occurred 24 months after operation, the other occurred 38 months. Both of them received radiotherapy. Malformation arised after radiotherapy. The total successful rate of reconstruct nasal outlook was 83.33%, the 3\|year locally recurrent rate was 8.33%,5\|year survival rate ws 100%, 5\|year survival rate without tumor was 83.33%.Conclusion:The blood supply of frontal flap is abundance;healing up soon after reconstruction; the manipulation of surgery is simple and safe. It is worth applying this operation generally in clinical practice.