双叶皮瓣在鼻部软组织缺损修复中的临床应用

Clinical use of bilobed flap in repairing soft tissue defect of nose

目的评价双叶皮瓣在鼻部软组织缺损修复中的临床应用效果。方法对2016年7月至2017年12月15例鼻部肿瘤切除术后软组织缺损患者采用双叶皮瓣进行修复,随访6个月,并进行疗效评定,评价其临床效果。结果所有皮瓣均成活,无感染坏死,创口一期愈合。患者鼻部及面部外形满意,无组织器官牵拉变形,皮瓣色泽和质地与周围组织基本一致,无明显瘢痕。术后随访6个月,优良率为14/15。结论双叶皮瓣修复鼻部缺损,皮瓣的质地、颜色与鼻部相似,局部组织不变形,瘢痕隐蔽,是修复鼻部中小面积缺损较理想的方法之一。

Objective To evaluate the clinical application of bilobed flap in repairing soft tissue defect of nose.Methods A consecutive series of 15 patients in which this reconstruction was performed was reviewed retrospectively,and the results studied 6 months later were evaluated.Results In all patients the results were satisfactory,with excellent cosmesis and function.There were no complications such as infection,necrosis and organ deformation.The satisfaction rate was14/15.Conclusions Bilobed flap has the characters of excellent cosmesis and function,making it an excellent choice of reconstruction of nasal defect.