CAJ | 학술논문

目的：探讨应用滑车上动脉蒂额部三叶瓣同时修复鼻尖鼻翼及鼻小柱缺损的临床疗效及治疗经验。方法：选取2008年9月-2013年2月本院收治的5例同时存在鼻尖鼻翼及鼻小柱缺损的患者，均采用滑车上动脉蒂额部三叶瓣修复。手术分2期进行：Ⅰ期行皮肤扩张器置入额部帽状腱膜及额肌下扩张充足的皮肤软组织；Ⅱ期设计滑车上动脉额部三叶瓣转移修复鼻尖鼻翼及鼻小柱缺损。结果：本组5例滑车上动脉蒂额部三叶瓣全部存活，随访4~12个月，平均随访8个月，鼻外形、功能良好，皮瓣色泽、质地与周围皮肤基本一致。结论：滑车上动脉蒂额部三叶瓣能同时修复鼻尖鼻翼及鼻小柱缺损，修复后鼻外形、功能良好，疗效可靠，是治疗同时存在鼻尖鼻翼及鼻小柱缺损较理想的方法。
목적：탐토응용활차상동맥체액부삼협판동시수복비첨비익급비소주결손적림상료효급치료경험。방법：선취2008년9월-2013년2월본원수치적5례동시존재비첨비익급비소주결손적환자，균채용활차상동맥체액부삼협판수복。수술분2기진행：Ⅰ기행피부확장기치입액부모상건막급액기하확장충족적피부연조직；Ⅱ기설계활차상동맥액부삼협판전이수복비첨비익급비소주결손。결과：본조5례활차상동맥체액부삼협판전부존활，수방4~12개월，평균수방8개월，비외형、공능량호，피판색택、질지여주위피부기본일치。결론：활차상동맥체액부삼협판능동시수복비첨비익급비소주결손，수복후비외형、공능량호，료효가고，시치료동시존재비첨비익급비소주결손교이상적방법。
Objective:To investigate the clinical effect and experience on the application of tri-leaflet valve in forehead flap pedicled with supratrochlear artery used to repair apex nasi,ala nasi and columella nasi.Method:Five patients who were lack of apex nasi,ala nasi and columella nasi in our hospital from September 2008 to February 2013, they were repaired with tri-leaflet valve in forehead flap pedicled with supratrochlear artery.The operation was performed in two phases:phase Ⅰ,the skin expander was inserted in front subgaleal to expand soft tissue subcutaneous;phase Ⅱ,tri-leaflet valve in forehead flap pedicled with supratrochlear artery was designed to repair apex nasi,ala nasi and columella nasi.Result:The tri-leaflet valve in forehead flap pedicled with supratrochlear artery planted was alive in each case of five patients.These patients were followed up for 4-12 months,the average value was 8 months.The appearance and function of nasi was good,the color,quality of the forehead flap were not different from the skin around.Conclusion:Tri-leaflet valve in forehead flap pedicled with supratrochlear artery can be used to repair apex nasi,ala nasi and columella nasi,and the appearance and function of nasi is good,the effect of operation is reliable,the method is ideal to repair apex nasi,ala nasi and columella nasi.