摘要
目的比较四种常用的鼻端缺损修复方法的优、缺点,为临床选择适当的手术方式提供参考。方法采用耳郭复合组织游离移植、局部鼻唇沟皮瓣、管形皮瓣、眼轮匝肌蒂颞区皮瓣,修复鼻端缺损57例,并进行综合分析,从修复缺损面积、住院时间、手术效果等方面进行比较。结果57例鼻下端缺损均得到较好地修复。管形皮瓣修复缺损面积最大、住院时间最长;局部鼻唇沟皮瓣修复缺损面积最小、住院时间最短;耳郭复合组织游离移植效果好,但修复缺损面积有限。结论鼻部下端缺损的修复,应根据其缺损面积、局部情况、患者要求和预期修复效果,选择不同的手术方法。
Objective To evaluate the effects on repairing the defects of lower part of the nose with four different surgical procedures, and to provide the most proper choice for clinical reference. Methods Fifty - seven cases of the defects in lower part of the nose were repaired with auricular composite graft, nasolabial flap, tube pedicled flap and temporal flap pedicled with orbicularis oculi in recent 10 years. The results were analyzed and evaluated in areas of defects, periods of hospitalization and effects of operation. Results Fiftyseven cases were satisfied with the results to different degree. The method of tube pedicled flap could repair the largest area of defects with the longest period of hospitalization, while the method of nasolabial flap could repair the smallest defective area with the shortest period of hospitalization. The method of auricular composite graft could achieve the most satisfying effects with limited repaired areas. Conclusion A proper methods of repairing the defects of lower part of the nose should be choosen depending on the area of defects, local situations, expected surgical outcome of the patients.
作者简介
张恒术（1965-）,男,重庆人,副主任医师,硕士.
