应用扩张额部斜行皮瓣修复鼻部缺损

目的：探讨扩张一侧滑车上动脉的额部斜行皮瓣修复鼻部缺损的效果。方法：对13例伴有鼻尖鼻翼大部分缺损的病例,在额部一侧滑车动脉走行区域下斜向植入80～120ml不同容积扩张器,经过2～3.5个月的扩张,获得多余的皮肤软组织。设计滑车上动脉额部斜行薄皮瓣转移修复鼻部缺损,对鼻支架破坏的病例同期植入肋软骨支架或鼻假体,1个月后断蒂并对鼻外形进行修整。结果：全部病例扩张顺利,转移的皮瓣成活。获得足够的鼻长度、鼻尖突度,修复效果满意,额部供区无明显瘢痕遗留。结论：该方法能获得比较理想的修复效果,应作为修复伴有鼻尖鼻翼大部分缺损修复的首选方法。

Repair of nasal defects by expanded forehead oblique flap

Objective To discuss the effect of repairing nasal defects by expanded forehead oblique flap with one side supratrochlear artery.Methods For 13 patients with nasal tip and nasal ala defects.80～120 ml expander was implanted under one side supratrochlear artery of the forehead skin tissue.After expansion of 2～3.5 months,the flap of the supratrochlear artery was transferred and the nasal defect was repaired.rib cartilage or nasal prosthesis was implanted for the patient whose nose frame was destroyed.One month later,the pedicle of flap was cut and nasal shape was trimmed.Results All patients were successfully,adequate nasal length and nasal tip were obtained.We have satisfactory results.no obvious scars in the frontal supply area.Conculsion This method could obtained satisfactory results,and should be first approach for repairing larg defects included nasal tip and nasal ala.