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find Author "金洪娟" 2 results
  • RECONSTRUCTION OF LARGE NASAL DEFECTS WITH LATERAL NASAL ARTERY PEDICLED NASOLABIAL FLAP

    Objective To evaluate the curative effect of the lateral nasal artery pedicled nasolabial flap for reconstruction of nasal defects. Methods From August 2005 to March 2009, 12 cases of large nasal tip and alar defects were repaired with the lateral nasal artery pedicled nasolabial flap. There were 5 male patients and 7 female patients with a mean ageof 48.6 years (range, 35-60 years). Five cases of nasal defects were caused by trauma and other defects were caused by excision of carcinoma or hemangioma; the courses of disease were 1 to 10 years and 3 months to 40 years, respectively. The nasal defect size ranged from 2.0 cm × 1.5 cm to 4.5 cm × 2.5 cm. All defects were reconstructed with lateral nasal artery pedicled nasolabial flap in 9 cases and with island flap in 3 cases. The flap size ranged from 2.5 cm × 2.0 cm to 7.0 cm × 3.0 cm. Five patients required cartilage grafts for alar rim support and the distal end of the nasolabial flap was thinned and folded to repair the nasal l ining. The donor sites were sutured directly. Results The mild venous stasis at the distal end of three island flaps occurred at 5-24 hours postoperatively and alleviated spontaneously. All flaps survived. Incision at donor and accepted sites healed by first intention. Flap revision was performed in 5 cases after 6-15 months because of mild swell ing at the pedicles of skin flaps. All patients were followed up 8-24 months, with an average of 13 months. All patients achieved satisfactory results in nasal appearance, flap texture and color, and ventilatory function. No obvious scar was found at donor sites. Conclusion The nasolabial flap is an excellent choice for reconstruction of defects of nasal tip and ala.

    Release date:2016-08-31 05:48 Export PDF Favorites Scan
  • 单侧唇腭裂术后鼻翼基底部塌陷畸形矫正一例报告

    目的总结1例单侧唇腭裂术后鼻翼基底部塌陷畸形矫正方法及疗效。 方法2011年3月,收治1 例单侧唇腭裂术后鼻翼基底部塌陷畸形17岁男性患者。鼻长轴偏向左侧 0.5 cm,鼻小柱高1.5 cm、偏向左侧。右侧鼻翼呈塌陷状,鼻翼外侧脚内陷。右侧上唇白唇处至鼻部基底见一纵形瘢痕。术中通过与健侧鼻翼软骨悬吊复位、采用白唇部瘢痕制作组织蒂固定于鼻翼基底部联合矫正畸形。 结果术后切口Ⅰ期愈合。术后6个月随访,患者两侧鼻翼基底部基本达水平,鼻尖偏斜矫正,创缘周围无坏死、复发。 结论利用白唇部瘢痕矫正手术操作简便,既切除了白唇部瘢痕组织,又解决了鼻翼基底部软组织量不足的问题,是矫正单侧唇腭裂术后鼻翼基底部塌陷畸形的有效方法之一。

    Release date:2016-08-31 04:07 Export PDF Favorites Scan
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