以侧鼻动脉为蒂的鼻唇沟皮瓣修复多个亚单位鼻缺损的疗效

Reconstruction of nasal defects of multiple subunits with lateral nasal artery pedicled nasolabial flap

目的:总结以侧鼻动脉为蒂的鼻唇沟皮瓣修复多个亚单位的鼻缺损的疗效。方法:2014-09-2016-04期间应用鼻唇沟皮瓣治疗多个亚单位的鼻缺损患者30例,术中采用以侧鼻动脉为蒂的鼻唇沟皮瓣修复缺损。结果:30例患者皮瓣全部成活,供区Ⅰ期愈合。术后24h内有2例患者出现静脉淤血现象,后自行缓解。25例于术后3~6个月行皮瓣修形术,23例患者获3~12个月随访。患者均对外观满意。结论:以侧鼻动脉为蒂的鼻唇沟皮瓣能够修复大面积的多个亚单位的鼻缺损,质地、颜色、厚薄与周围皮肤相近,是修复多个亚单位鼻缺损的有效方法之一。

Objective：To evaluate the effectiveness of the lateral nasal artery pedicled nasolabial flap for reconstruction of nasal defects of multiple subunits.Method：From September 2014 to April 2016,30 cases of nasal defects in multiple subunits repaired with the lateral nasal artery pedicled nasolabial flap were retrospectively analysed.Result：All flaps survived.Incision at donor and accepted sites healed by first intention.Two patients had mild venous stasis 24 hours after operation and can alleviated spontaneously.Flap revision was performed in 25 cases after 3-6 months.Twenty-three cases were followed up 3-12 months.All patients achieved satisfactory results in nasal appearance.Conclusion：The lateral nasal artery pedicled nasolabial flap can reconstruct the nasal defects of multiple subunits,and the texture,color or thickness are similar to the surrounding skin.It is one of the effective methods to repair multiple subunits of nasal defects.