摘要
目的 :探索鼻缺损修复重建的新方法 ,评价眶下蒂鼻唇沟瓣修复鼻缺损的临床应用价值。方法 :对 10例患者应用眶下血管皮下蒂鼻唇沟瓣经皮下隧道转移修复其鼻部组织缺损。其中单纯皮肤皮下软组织缺损者 4例 ,鼻全层洞穿复合组织缺损者 6例。结果 :10例皮瓣全部存活 ,最大皮瓣面积 5cm× 2 .5cm ,皮瓣色泽、质地与周围皮肤相仿 ,触温觉存在 ,供区瘢痕隐蔽 ,形态恢复满意。结论 :眶下血管皮下蒂鼻唇沟瓣作为邻近轴形皮瓣 ,具有众多优点 ,是鼻缺损修复重建的理想方法之一。
Objective: To evaluate the effects of nasolabial skin fla p pedicled on the infraorbital vessels in nasal defect reconstruction. Met hods: 10 cases received nasal defect reconstruction with nasolabial skin flap pedicled on the infraorbital vessels. 4 of them were with single layer def ects while the other 6 were with whole layers defects. Results: All of the 10 flaps were viable after operation, the maximum area of the flaps w as 5 cm×2.5 cm. The color and texture of the flaps were similar to that of the surrounding skin in recipient site. Thermal sensation and tactile sensation were proved to be existing in all the 10 flaps. The scar of donor site was not obvio us. Conclusion: The nasolabial skin flap pedicled on the infraor bital vessels may be one of the optimal methods for nasal defect reconstruction.
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2004年第5期586-588,共3页
Journal of Practical Stomatology
关键词
眶下血管
鼻唇沟
皮瓣
Infraorbital vessels
Nasolabial fold
Skin flap
