细长皮管修复鼻小柱缺损

【英文篇名】REPAIR OF NASAL COLUMELLA DEFECT WITH LONG SLENDER TUBED FLAP

【作者中文名】尤维涛; 牛星焘; 孔繁祜; 惠博生; 阎爱萍;

【作者英文名】YOU Wei-tao; NIU Xing-tao; KONG Fan-hu; et al. Department of Plastic Surgery; the 3rd Hospital of Beijing Medical University. Beijing; P. R. China 100083;

【作者单位】北京医科大学附属第三医院成形外科;

【文献出处】中国修复重建外科杂志, CHINESE JOURNAL OF REPARATIVE AND RECONSTRUCTIVE SURGERY, 编辑部邮箱 2000年 05期

期刊荣誉：中文核心期刊要目总览 ASPT来源刊 CJFD收录刊

【关键词】细长皮管; 鼻小柱缺损; 修复;

【英文关键词】Long slender tubed flap Nasal columella defect Repair;

【摘要】目的总结通过留“桥”技术形成的细长皮管在鼻小柱再造中的应用。方法 196 8年 3月～ 1998年 8月 ,利用留“桥”技术形成细长皮管 ,分次转移 ,修复复杂鼻小柱缺损共 18例。采用上臂内侧纵行皮管 13例 ,颈部锁骨上横行皮管 5例 ,设计皮管宽度 2 .0～ 2 .5 cm,长度 11～ 15 cm,皮管中段 3～ 7cm于其一侧留“桥”。结果18例皮管均成活 ,无并发症 ,随访 3～ 6 0个月 ,再造鼻小柱外形、质地、色泽、抗损伤能力均良好。结论为保证细长皮管的血运 ,皮管中段需留“桥”,二期断“桥”。此皮管能提供外形精致、相对丰富的组织 ,在修复鼻小柱缺损 ,特别是合并鼻尖、鼻中隔、鼻翼部分缺损 ,或伴有口鼻周围软组织缺损时 ,可修复多处畸形 ,效果良好。缺点是疗程稍长。

【英文摘要】Objective To introduce the clinical application of long slender tubed flap constructed with “bridge” technique in the repair of nasal columella defect. Methods From March 1968 to August 1998, 18 cases with complicated nasal columella defects were repaired with long slender tubed flaps. Among the 18 tubed flaps, 13 cases were designed on the medial side of the upper arm and 5 cases on the longer cervical region paralleling the clavicle. The tubed flaps were 2.0 to 2.5 cm wide and 11 to 15 cm long. The leng…

【DOI】cnki:ISSN:51-1372.0.2000-05-016