面动脉穿支皮瓣修复鼻部缺损的临床应用现状和存在的问题

Facial artery perforator flaps in reconstructing nasal defects: the evolution and challenges

面动脉穿支皮瓣具有供区损伤小、受区外形和功能好的特点,在修复各种面部中、小面积缺损的临床应用中日益广泛。而鼻部作为面部美学重要的构成部分,对其缺损后三维结构的精准修复与重建就显得更加迫切。作者通过汇总文献,对面动脉穿支皮瓣修复鼻部缺损的解剖学基础、临床开展状况进行了综述,并分析了存在的问题,同时对口弓I喙菁绿SPY血管成像系统在面动脉穿支定位中的临床应用前景进行了展望。

The facial artery perforator flap has the advantages of minimal donor site morbidity,acceptable appearance and function at recipent area, which brings its wide application in reconstruction offacial small and medium-sized defects. Nasal defects, as the most important aesthetic unit at face, requirethree・dimennsional and precise reconstruction. The article reviewed the anatomic study and the currentstatus of the clinical applications of this technique in reconstruction of nasal defects, as well as the existingquestions. The prospective application of SPY system in localization of facial artery perforator was alsoanalyzed.