额部扩张皮瓣半鼻再造术

目的：介绍应用额部扩张皮瓣进行半鼻再造的体会。方法：总结9例采用扩张后的额部皮瓣转移后作为再造鼻的皮肤覆盖，局部翻转皮瓣作为鼻腔衬里，移植肋软骨或耳甲软骨重建鼻支持组织的手术方法。结果：9例中8例获得满意效果，再造半鼻与健侧基本对称。1例额部扩张皮瓣远端淤血坏死。结论：应用额部扩张皮瓣进行半鼻再造是可行的。

THE EXPERIENCE OF HEMINASAL RECONSTRUCTION WITH EXPANDED FOREHEAD FLAP

Objective:To present the experience of heminasal reconstruction with the expanded forehead flap. Methods:9 patients with congenital or acquired heminasal defect were treated by heminasal reconstruction,in which expanded forehead flaps were transposed to resurface the defected half of nose,local skin flaps based on the defect margin were reversed as the lining flaps to close the full thickness defect at the nasal bridge or to resurface the inner side of the ala,and the conchal or costal cartilage grafts were transplanted to reconstruct the nasal supportive structrue. Results:Out of the 9 cases of heminasal reconstruction with the expanded forehead flaps,in 8 cases the results were satisfactory.In l case the venostasis and loss of distal end of forehead flap occurred. Conclusion:The heminasal reconstruction with expanded forehead flap for repair of heminasal defect is available.