外鼻组织缺损的修复

目的：探讨外鼻组织缺损美学修复的方法。方法：以Yotsuyanagi等的鼻部美学分区原则为基础，结合笔者的临床实践，将鼻部分为鼻尖、鼻翼、鼻背上部、鼻背下部、鼻背旁区5个美学单位，采用鼻唇沟随意皮瓣、邻近菱形瓣、额部岛状瓣、鼻唇沟逆行岛状瓣、前臂带蒂皮瓣等方法修复外鼻组织缺损。结果：术后随访3个月～5年，疗效及外形满意，无一例复发。结论：采用邻近皮瓣及前臂带蒂皮瓣可以实现外鼻组织缺损的美学修复。

Reconstruction of tissue defects in external nose

Objective:To discuss and sum up the methods and experience of aesthetic reconstruction of tissue defects in external nose.Method:By respective repair based on aesthetic subunits principle of the nose proposed by Yotsuyanagi et al,47 tissue defects in external nose were reconstructed using random flap of nasolabial groove , local rhomboid flap, the insular skin flap of forehead,the insular skin flap of nasolabial groove with retrograde facial artery and forearm flap with pedicle etc.Result:Satisfactory resconstructive effects were obtained in all cases.Conclusion:Good aesthetic result can be achieved using local flaps or forearm flap with pedicle.