双叶皮瓣修复鼻翼基底细胞癌术后缺损的临床效果

摘要

Objective To investigate the therapeutic effect of double leaf flap in repairing nasal alar soft tissue defect.Methods In 25 patients with basal cell carcinoma of nasal wing skin,the defect diameter of nasal wing soft tissue between 0.5 cm and 2.0 cm was removed and the defect was repaired with double flap immediately.Results The patients in this group were all successful in surgery.The incisions were all first-stage healing,no necrosis of the skin flap,1 to 3 years of follow-up after surgery,no recurrence of cancer,and the repair of the skin flap was basically the same as the color and texture of the surrounding tissue.The scars were not obvious.The lateral nasal wing physiological radians were naturally smooth.Both sides were symmetrical and met the aesthetic standards of the nose.Conclusions With the advantages of simple design and simple operation,high survival rate and beautiful shape of nasal wing after repair,the double-leaf flap can be widely used in clinic.%目的 探讨用双叶皮瓣修复鼻翼软组织缺损的临床效果.方法 选择2013 2017年内蒙古自治区呼伦贝尔市人民医院医疗美容科25例鼻翼基底细胞癌患者,切除肿瘤后,鼻翼软组织缺损直径0.5～2.0 cm,采取双叶皮瓣即刻修复,术后随访1～3年.结果 25例患者均获得手术成功,切口均为一期愈合,皮瓣无坏死,癌肿无复发,修复皮瓣与周围组织色泽、质地基本一致,瘢痕不明显,患侧鼻翼生理弧度自然流畅,两侧对称,符合鼻部美学标准.结论 双叶皮瓣修复鼻翼软组织缺损,具有操作简单、皮瓣成活率高、修复后鼻翼外形美观等优点.