中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2015年
1期
19-21
,共3页
旋转皮瓣%鼻翼%鼻成形术
鏇轉皮瓣%鼻翼%鼻成形術
선전피판%비익%비성형술
Rotation skin flap%Nasal alar%Rhinoplasty
目的 探讨鼻翼旋转皮瓣修复严重鼻翼内陷的临床效果.方法 首先利用自体肋软骨塑造鼻尖和鼻梁,再以肋软骨补片加长加厚鼻翼凹陷患侧鼻翼软骨,最后按设计采用鼻翼皮肤旋转皮瓣重建患侧鼻翼.结果 2011年5月至2013年11月于临床应用14例,所有患者鼻翼内陷均有改善,皮瓣外观良好,切口愈合良好,瘢痕不明显,鼻翼大小无显著性变化,未出现鼻阻塞等并发症.术后随访6 ～ 30个月,平均11个月,仅1例(单侧)瘢痕形成,其余患者对手术效果表示满意.结论 用鼻翼旋转皮瓣修复鼻翼内陷是一种有效的方法,切口隐蔽,符合鼻整形美学原则.
目的 探討鼻翼鏇轉皮瓣脩複嚴重鼻翼內陷的臨床效果.方法 首先利用自體肋軟骨塑造鼻尖和鼻樑,再以肋軟骨補片加長加厚鼻翼凹陷患側鼻翼軟骨,最後按設計採用鼻翼皮膚鏇轉皮瓣重建患側鼻翼.結果 2011年5月至2013年11月于臨床應用14例,所有患者鼻翼內陷均有改善,皮瓣外觀良好,切口愈閤良好,瘢痕不明顯,鼻翼大小無顯著性變化,未齣現鼻阻塞等併髮癥.術後隨訪6 ～ 30箇月,平均11箇月,僅1例(單側)瘢痕形成,其餘患者對手術效果錶示滿意.結論 用鼻翼鏇轉皮瓣脩複鼻翼內陷是一種有效的方法,切口隱蔽,符閤鼻整形美學原則.
목적 탐토비익선전피판수복엄중비익내함적림상효과.방법 수선이용자체륵연골소조비첨화비량,재이륵연골보편가장가후비익요함환측비익연골,최후안설계채용비익피부선전피판중건환측비익.결과 2011년5월지2013년11월우림상응용14례,소유환자비익내함균유개선,피판외관량호,절구유합량호,반흔불명현,비익대소무현저성변화,미출현비조새등병발증.술후수방6 ～ 30개월,평균11개월,부1례(단측)반흔형성,기여환자대수술효과표시만의.결론 용비익선전피판수복비익내함시일충유효적방법,절구은폐,부합비정형미학원칙.
Objective To investigate the therapeutic effect of alar rotation flap for severe alar retraction.Methods Patients with severely retracted alar underwent ala reconstruction using alar rotation flaps and autogenous cartilage batten grafts.First,costal cartilage was used to reshape the nasal tip and nasal dorsum.Then cartilage patch was used to extend and thicken the retracted alar.Then the alar rotation flap was transferred to correct retracted alar.Results Fourteen patients with severe alar retraction underwent alar reconstruction with alar rotation flap and alar batten grafts.The alar retraction was corrected in all cases,with improvements functionally and aesthetically.No recurrence of alar retraction was noted.The incision healed with acceptable cosmetic results,with obvious scar in only one patient (one side).Conclusions The alar rotation flap is an effective and reliable surgical option to correct severe alar retraction.Scar can be kept inconspicuous by precise placement of the incision within the junction of the ala and the nasal dorsum,following principles of the aesthetic nasal subunits.
