额皮瓣修复鼻部缺损

Study of application of the frontal flap for reconstructing defect in nose

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 10 0 % ,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 10 0 % ,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。

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.