贵州医科大学学报

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鼻端缺损畸形的修复
Repair of Nasal Tip Defect

袁必立;陈荣华;王世虎;
Yuan Bili, et al Department of Burns and Plastic Surgery

摘要(Abstract):

采用耳廓复合组织片、鼻唇沟皮瓣、含真皮下血管网皮片和作者改进的鼻唇沟皮瓣的方法,分别对18例鼻端缺损进行修复。详细介绍改进的鼻唇沟皮瓣手术方法。对上述几种方法的选择及优缺点进行讨论。
There are various methods of repairing the cicatricial deformities due to nasal tip defects because the deformities are different. We used auriculer composite graft, skin contain subdermal vascular network graft, nasolabial graft, and modified nasolabial groove subcutaneous pedicle thin graft with silicon gel bar to repair nasal tip defects on 18 cases respectively with good results. The auricular composite graft is similar to the thickness and curveof nasal alar, but it isn't suitable to repair biger defect, since it is limited in getting materials. The skin contain subdermal vascular network graft suits only for repairing superficial soft tissue. Although the nasolabial groove graft can be used to repair a whole thickness alar defect but there is no sup port inside so the nostril deforms easily and becomes narrow, and swell from thick subcutaneous tissue. The author used nasolabial groove subcutaneous pedical thin graft with silicon gel bar to reconstruct nasal ala and nostril, no rubber tube is need postoperatively. The good appearance keeps for a long time. This method is simple and has wide indication, so it is worthy to be recommended.

关键词(KeyWords): 鼻;外科皮瓣;整形外科手术
nose;surgical flaps;surgery;plastic

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作者(Author): 袁必立;陈荣华;王世虎;
Yuan Bili, et al Department of Burns and Plastic Surgery

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