额部扩张皮瓣联合耳软骨支架鼻再造术

Nose Reconstruction with the expanded forehead tissue flap combining with auricular cartilage stent

目的:探讨应用额部扩张皮瓣复合耳软骨支架植入鼻再造术的效果。方法:对7例鼻缺损患者Ⅰ期行额部斜行扩张器埋置术,Ⅱ期行扩张皮瓣修复鼻尖、鼻翼及鼻小柱的同时,于残鼻内植入耳软骨支架,形成支撑结构。结果:7例术后均无感染,无软骨外露,再造鼻外观坚挺,色泽与邻近组织相似,形态逼真,效果满意。结论:额部扩张皮瓣复合耳软骨支架植入鼻再造术增加了鼻尖及鼻小柱的支撑、塑形,是较理想的鼻再造方法。

Objective To investigate the effect of nose reconstruction with the expanded forehead flap combining with auricular cartilage stent. Methods The 7 nasal defect patients were primarily operated tissue expansion with skin expanders placed obliquely under galea aponeuroticas of forehead.Secondly expanded forehead flaps were used to reconstruct nasal tips, nasal alas and nasal columellas,and meanwhile auricular cartilage frames were placed into deficient noses to forming the support structure. Resurts In 7 post-operative patients,with no infection,no cartilage exposure. The reconstructed nose which was straight, with similar color comparing with neighbouring tissue, had realistic form and satisfied effect. Conclusion Nose reconstruction with the expanded forehead flap combining with auricular cartilage stent which enabled the nasal tip and nasal columella sustained and rearranged better is a desirable method.