昆明医科大学学报Issue(10)：100-102,3.
耳廓复合组织瓣游离移植修复鼻翼缺损
Auricular Composite Tissue Flap for Repairing Nasal Ala Defect
摘要
Abstract
Objective To discuss the effects of repairing nasal ala defects by free transplantation of autogenous auricle composite tissue flap. Methods 50 cases with nasal ala defects were repaired by free auricular composite tissue flap transplantation from Janu 2003 to May 2013. The defects size was 0.5cm x 0.7cm~1.3cm x 1.5cm. According to the size of the defects, full thick wedge-shaped auricle composite tissue flap were cut off, then inserted into the nasal ala defects area and fixed stablely, the donor sites were sutured directly avoiding ear cartilage. Salvianolate and hyperbaric oxygen were used in postoperative treatment for 5-7 days. Results 48 cases achieved good results, 2 cases had partial necrosis of composite tissue flap after operation, also achieved good results after reoperation. Over 3 months~5 years follow-up, all cases had satisfactory results. The volume of auricle composite tissue flap reduced less than 10%. Surgical incisions had a linear scar, good color matching, nostril symmetry. All patients were satisfied with the overall appearance. Conclusions Autogenous auricle composite tissue flap free transplantation for repairing middle and small size of nasal ala defects can recover ala formation and structure very well, nasal appearance can be improved greatly with nostril symmetry. There is no hypertrophic scar in donor sites. This method is simple and easy,and is also a good method for repairing nasal ala defects.关键词
耳廓复合组织瓣/鼻翼缺损/高压氧/鼻畸形Key words
Auricle composite tissue flap/Nasal ala defects/Hyperbaric oxygen therapy/Nasal deformity分类
医药卫生引用本文复制引用
黄绍丽,王继华,张景波,朱礼昆,张颖佳,王璐..耳廓复合组织瓣游离移植修复鼻翼缺损[J].昆明医科大学学报,2013,(10):100-102,3.基金项目
云南省自然科学基金资助项目 （）
