采用额部扩张皮瓣行全鼻再造术

Nasal recoustruction with the expanded forehead flap

目的采用扩张后的前额皮瓣重建缺损的外鼻。方法在前额部的软组织下放入软组织扩张器,经过5周的时间将皮肤软组织扩张,在其上设计以一侧滑车上动脉为蒂的三叶状的前额皮瓣,向下反转重建外鼻。结果4例具有不同程度的外鼻缺损的患者采用了该方法,再造的外鼻外形良好,色泽满意。结论采用扩张后的前额皮瓣重建缺损的外鼻是一种理想的手术方法。

Objective An expanded forehead flap was designed for nasal recoustruction. Methods An expandable silastic implant was placed under the forehead tissue and water was injected into it. The forehead skin tissue was expanded during five week. A triangle-shaped forehead flap with lateral supratrochlear artery was designed over the expanded forehead skin tissue and used for a nasal defect. Results four patients with nasal defect accepted the reconstructive option. Better nasal contour and skin color were achieved. Conclusion The expanded forehead flap is acknowledged as the ideal option for major nasal recoustruction.