岛状皮瓣及其组合皮瓣在鼻翼缺损修复中的应用

Application of island flap and its combined flap on repairing nasal alae defects

目的探讨岛状皮瓣及其组合皮瓣在外鼻肿瘤切除后鼻翼缺损一期修复中的应用。方法回顾性研究2016年6月至2021年2月就诊于首都医科大学宣武医院的11例外鼻肿瘤切除后存在鼻翼贯通或全层缺损的患者,其中男性7例,女性4例,年龄51~89岁。依据鼻翼缺损范围,选择岛状皮瓣、岛状皮瓣联合鼻唇沟瓣或V-Y推进皮瓣、岛状皮瓣联合双叶皮瓣等进行修复。采用描述性统计学方法分析治疗效果。结果11例患者皮瓣全部成活,切口Ⅰ期愈合。随访5~59个月,鼻部外观及通气功能良好,肿瘤无复发。结论对于外鼻肿瘤切除后鼻翼缺损的患者,选择适合的岛状皮瓣或组合皮瓣进行修复,可以重建较为理想的鼻部外观和功能。

Objective To evaluate the application of island flap and combined flap in one-stage reconstruction of nasal alae defects after external nasal tumor resection.Methods Data of 11 patients with perforating or full-thickness defects of the alae after nasal tumor resection in XuanWu Hospital,Capital Medical University between June 2016 and February 2021 were analyzed retrospectively.There were 7 males and 4 females,and the ages ranged from 51 to 89 years.Island flap,island flap combined with nasolabial flap or V-Y advancement flap,and island flap combined with bilobed flap were applied according to the range of defects.Descriptive statistical method was applied to analyze the treatment effects.Results All flaps of the 11 patients were successful survival and the incisions were primary healing.Being followed up for 5 to 59 months,the patients had satisfying appearance and ventilation function,and no tumor relapsed.Conclusion For the patients with nasal alae defects after external nose tumor resection,selecting suitable island skin flap or combined skin flap can be used to reconstruct the ideal nasal appearance and function of the nose.