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目的观察耳郭复合组织瓣游离移植修复鼻翼缺损的术后效果。方法选择2000-05/2005-05在解放军白求恩国际和平医院烧伤整形科采用耳郭复合组织瓣游离移植修复鼻翼缺损的患者15例,均知情同意。其中全层耳郭复合组织瓣游离移植10例;利用瘢痕瓣翻转作衬里,部分耳郭复合组织瓣游离移植5例。术后定期随访。结果15例患者耳郭复合组织瓣游离移植全部成活,色泽呈暗红或淡红。15例患者术后随访6～24个月,其中6～12个月3例,13～18个月2例,19～24个月10例;患者复合组织瓣皮肤颜色与周围皮肤颜色基本一致,鼻部外形满意,耳郭供瓣区部位较为隐蔽,满意率为94%。结论采用耳郭复合组织瓣游离移植修复鼻翼缺损,方法简便,术后鼻翼外形满意,供区隐蔽,是一种有效的修复方法。
Objective To observe the postoperative effects of free transplantation of otorhinoral composite tissue flap in the repair of nasal defect. Methods From May 2000 to May 2005, 15 patients with nasal defect repaired by otolaryngology composite tissue flap were treated in Department of Burn and Plastic Surgery, Bethune International Peace Hospital, People’s Liberation Army. All patients were informed consent. Among them, 10 cases were randomly transplanted with full-thickness auricular compound tissue flap; 5 cases were transplanted with scar flap inversion and 5 cases were partially transplanted with auricular compound tissue flap. Regular follow-up after surgery. Results 15 cases of auricular compound flap free graft all survived, the color was dark red or pink. Fifteen patients were followed up for 6-24 months, of which 6 cases were 6 to 12 months, 2 cases were 13 to 18 months and 10 cases were 19 to 24 months after surgery. The skin color of the composite flap was basically the same as that of the surrounding skin, Nasal shape satisfaction, ear flap area for the more subtle, satisfaction was 94%. Conclusions The method of free transplantation of otorhinoral composite tissue flap for the repair of nasal alar defect is simple and convenient. The appearance of the nasal alar is satisfactory and the donor area is hidden. It is an effective method of repair.