鼻尖-鼻小柱联合缺损改良修复术效果评价

An improved method of repairing nose columella combined defects

目的:介绍一种鼻尖部-鼻小柱联合缺损的改良修复手术。方法:选择8例鼻尖-鼻小柱缺损患者,根据鼻尖部-鼻小柱创面的大小、形状、深度,设计以内眦动脉分支血管为蒂的额鼻-鼻唇沟联合皮瓣覆盖创面。结果:8例手术均获成功,术后皮瓣全部成活,鼻外形轮廓较好,无明显并发症发生。结论:应用改良皮瓣一次修复鼻尖部-鼻小柱缺损,方法可行,效果满意,值得推广应用。

PURPOSE:To introduce an improved method of repairing nose columella combined defects.METHODS:According to the size,shape and depth of the nasal columella defect at the tip of nose,a combined forehead-nose-nasolabial groove skin flap pedicled on the branches of the medial canthus was designed to repair the defect.RESULTS:Eight cases were operated successfully.All flaps survived without obvious complications and all nasal shape outline was fine.CONCLUSIONS:The improved skin flap can be used to repair the defect of nasal tip and columella at one time.The effect is satisfactory,and the method is worthy of wide application.