外鼻基底细胞癌Ⅰ期皮瓣修复临床分析

Primary flap repair of surgical defects after resection of basal cell carcinoma on external nasal

目的探讨外鼻基底细胞癌Ⅰ期皮瓣修复方法及临床疗效。方法回顾性分析于2012年4月~2021年7月就诊于我院并确诊的21例鼻基底细胞癌患者,均行肿瘤根治切除联合局部皮瓣Ⅰ期修复。鼻唇沟瓣修复术10例,额瓣修复术7例以及游离皮瓣修复4例,均行I期修复和重建。结果21例患者术后皮瓣均存活,随访无明显瘢痕组织、外观满意。结论外鼻基底细胞癌行根治性切除术的基础上,根据肿瘤切除的缺损大小、形状、范围、深浅行个体化的皮瓣修复,有利于患者的恢复和面部的美观。

Objective To summarize the experience on primary flap repair of local defects caused by surgical of basal cell carcinoma in the region of external nasal.Methods The clinical data of 21 patients with nasal basal cell carcinoma who underwent primary flap repair after radical resection from 2012 to 2021 were analyzed retrospectively.Three methods,nasolabial sulcus flap repair,frontal flap repair and free flap repair,were used for primary repair and reconstruction.Results All flaps survived.There was no recurrence within 1-2 years of followup.The postoperative appearance was satisfactory.Conclusion On the basis of radical resection of external nasal basal cell carcinoma,an individualized flap scheme can be designed according to the location,scope and size of the surgical defect after tumor resection.Local flap has many advantages,such as good blood supply,high survival rate,flexible material selection,simple operation and so on.It can provide a better treatment for the defect after resection of external nasal tumors.