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目的探讨应用额部靴形皮瓣进行全鼻再造的手术体会。方法在额旁正中皮瓣及额斜皮瓣的基础上设计额部靴形皮瓣,即以一侧滑车上动脉为蒂,皮瓣的“靴筒”部为皮瓣岛状转移的蒂部;而皮瓣的主体为越过额部的正中线直达对侧颞区的横向皮瓣,其中包括对侧滑车动脉供血区及颞浅动脉供血区。结果2005年3月至2006年1月,应用此靴形皮瓣对2例鼻缺损患者行Ⅰ期全鼻再造。术后随访2例患者6~9个月,再造鼻均获成功,鼻的外形及通气功能均良好,效果满意。结论应用额部靴形皮瓣进行的全鼻再造的手术方法,具有操作方便、皮瓣的血供可靠、手术可Ⅰ期完成、术后效果良好等优点,是修复鼻缺损的良好的手术方法。
Objective To explore the experience of total nasal reconstruction using the forefoot shoe flap. Methods The forehead flap was designed on the basis of forehead paracentester flap and frontal flap, that is, the pedicle flap artery was used as the pedicle flap and the flap of the flap Pedicle; and the main body of the flap is the lateral flap beyond the frontal part of the forehead to the contralateral temporal area, including the contralateral pulley artery and the superficial temporal artery blood supply area. Results From March 2005 to January 2006, two cases of nasal defects were treated with this type of skin flap for stage Ⅰ total nasal reconstruction. Two patients were followed up for 6 to 9 months after operation, and the nasal reconstruction was successful. The appearance and ventilation of the nose were good and the results were satisfactory. Conclusion The method of total nasal reconstruction with forefoot skin flap has the advantages of convenient operation, reliable blood supply to flap, complete stage Ⅰ operation and good postoperative effect, which is a good surgical method for repairing nasal defect .