基于亚单位原则进行鼻部缺损修复重建策略的探讨

Reconstruction of Nasal Defects Based on the Subunit Principle

探讨基于亚单位原则进行鼻部缺损重建的策略。方法:2008年1月~2017年8月鼻部软组织缺损患者82例,基于美容亚单位原则,应用菱形皮瓣、双叶皮瓣、额部皮瓣、额鼻皮瓣、鼻唇沟皮瓣、拱顶石皮瓣等方法进行修复。结果:82例患者术后随访时间6~37个月,平均随访时间23个月,伤口愈合良好,术后形态满意。结论:提出基于美容亚单位的原则制定的鼻部缺损重建策略,以期为临床医生选择手术方案提供参考。

To review methods for repairing defects of different nasal subuints, and to provide an algorithm for clinical reference. Methods From January 2008 to August 2017, 82 patients with nasal defects were repaired based on the subunit principle, reconstruction were accomplished with rhombic flap, bilobe flap, forehead flap, frontonasal flap, melolabial flap, keystone design perforator island flap, etc. Results The mean follow-up period was 23 months (6-37months). All the patients recovered smoothly without complications. Conclusion The reconstructive algorithm based on the nasal subunit could provide clinical reference for the doctors.