摘要
目的 介绍超长蒂颞浅动脉筋膜岛状皮瓣修复鼻翼缺损的手术方式。方法 2 9例外伤性鼻缺损 ,其中采用颞浅动脉额支筋膜岛状皮瓣修复 12例 ,颞浅动脉顶支筋膜岛状耳后皮瓣修复 14例 ,预制颞浅动脉顶支筋膜耳后皮瓣 3例。结果 2 7例皮瓣的颜色、质地和形态良好 ,疗效满意 ;2例出现皮瓣部分坏死 ,需再次修复手术。结论 超长蒂颞浅动脉筋膜岛状皮瓣治疗鼻尖、鼻小柱及鼻翼缺损 ,供区损伤小 ,受区颜色形状好 ;并且预制的超长蒂颞浅动脉筋膜岛状耳后皮瓣血运可靠 ,可一次解决衬里问题 ,此皮瓣是修复鼻尖、鼻翼缺损的好方法。
Objective To explore the method of repairing defects of apex of nose, ala of nose, nasal sepdtum and even opposite ala nasi with prefabricated superlong pedicled superficial temporal fascia island flaps(PSPSTFIF). Methods 29 cases with defects of apex nasi, ala nasi and nasal columella, of which 12 cases repaired with frontal-branched superficial temporal fascias island flap, 14 cases with apical-branched superficial temporal fascia postauricular island flaps and 3 cases with prefabricated apical-branched superficial temporal fascia postauricular island flaps. Results 27 cases were successfully taken without blood circulation blocks; the color, texture and figure were good and the outcomes were satisfying, 2 cases of which required secondary surgery because of partial necrosis. Conclusion PSPSTFIF is an available way to repair defects of apex nasi, ala nasi and nasal columella with benefits of good blood circulation, primary made liner and minute injury of donor site. It is the good method to repair defects of apex nasi and ala nasi.
关键词
颞浅血管
预制皮瓣
超长蒂
鼻缺损
Superficial temporal vessel
Prefabricated flap
ultra-pedicle
Nasal defects
