改良双侧水平推进皮瓣修复眉间鼻根基底细胞癌切除术后缺损1例

A case of modified horizontal advancement flap repair after resection of basal cell carcinoma at the glabellar-nasal root

该文报道了1例应用双侧改良水平推进皮瓣修复眉间鼻根恶性肿瘤切除后组织缺损病例。患者女,20岁,因"眉间鼻根肿物5年余,增大、破溃5个月"入院。术中首先行眉间鼻根皮肤肿物切除,术中快速冰冻病理结果回报为基底细胞癌,切缘未累及,遂行双侧改良水平推进皮瓣修复术。术后3个月患者术区愈合良好,外观形态、眼睑功能正常,基底细胞癌无复发迹象。应用双侧改良水平推进皮瓣修复眉间鼻根部位基底细胞癌切除后的组织缺损效果良好。

This paper reports a case of reparing the tissue defect after resection of a malignant tumor in the glabellar nasion with bilateral modified horizontal advancement flaps.The patient,a 20-year-old female,was admitted to the hospital because of a mass on the nasion between the eyebrows for more than 5 years,with enlargement and ulceration for 5 months.Surgical resection of the tumor was performed.Intraoperative rapid frozen sections showed that the tumor was basal cell carcinoma,and there were no cancer cells at the margins.Bilateral modified horizontal advancement flap repair was performed.At three months after the operation,the incision area healed well,the appearance and eyelid function were normal,and there was no sign of recurrence of basal cell carcinoma.Bilateral modified horizontal advancement flap was effective in repairing the tissue defect after resection of glabellar nasal root basal cell carcinoma.