鼻翼缺损修补的体会

目的回顾性分析鼻翼缺损的修复方法和疗效。方法1985—2011年收治因各种原因所造成的鼻翼缺损患者12例，利用鼻唇沟带蒂皮瓣和鼻中隔带蒂黏膜软骨瓣进行修补手术，术后观察患者的临床疗效。结果全部病例术后随访1—3年，除1例因鼻中隔黏膜软骨瓣坏死，术后鼻翼出现凹陷外，其余11例患者修复后的鼻翼外形良好，效果满意。结论该方法操作简便，损伤小，利用鼻唇沟带蒂皮瓣修复鼻翼缺损，其颜色、质地、厚度均与鼻翼相似，另取鼻中隔黏膜软骨瓣作为鼻翼的衬里可使鼻翼的厚度与对侧一致，有鼻中隔软骨作支架，可保证修复的鼻翼远期不出现凹陷变形。

Experience of repairing nasal alar defects

Objective To study the surgical methods for repairing nasal alar defects and their therapeutic effect. Methods Clinical data of 12 patients with nasal alar defects caused by various reasons, which repaired by using nasal labial pedieled skin flap and nasal septal pedicled chondromucosal flap was analyzed retrospectively. Results Followed up for one to three years postoperatively, the hollow nasal alar occurred in one case, due to necrosis of septal chondromueosal flap; all the other patients got satisfying appearance of nasal alar. Conclusions With advantages of simple manipulation, little trauma, similarities in color, texture, and thickness between nasal labial pedieled skin flap and nasal alar, and with underlining and support of septal pedieled ehondromueosal flap, nasal alar defects can be repaired satisfactorily with combination of these two kinds of flaps.