转位岛的脚翻盖用于修复鼻腔
Benjamin R Buttars1, Kelley L Turner2, Gabriel J Saliba3
1Dermatology, HonorHealth Dermatology Residency, Scottsdale, USA.
Cureus
|September 6, 2024
概括
这项研究引入了一种新型的melolabial转移岛 pedicle flap用于鼻重建. 这种单阶段的技术提供了一个耐受良好的替代品,用于Alar缺陷,改善化品的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 鼻重建带来了重大的手术挑战,包括鼻面结的损失和血管损伤.
- 通过传统的重建技术,很难在单个阶段获得令人满意的化品效果.
- 现有的方法,比如插曲的melolabial flap和paranasal flap,在宇宙和复杂性方面存在局限性.
研究的目的:
- 介绍一种新的方法,用于使用基于melolabial的转换岛的脚翻盖进行鼻腔ala重建.
- 为传统方法提供替代方案,这些方法可能需要多个阶段或移植.
- 为了评估这种单阶段重建技术的疗效和化品结果.
主要方法:
- 一个基于melolabial的转移岛 pedicle flap从鼻皮中收获.
- 折叠板在中间和上方旋转165度,以解决报警缺陷.
- 脚被战略地放置在面部部,以重现其轮,捐赠部位被线性地关闭.
主要成果:
- 该技术成功地使用局部组织在单个阶段重建了子单元.
- 它提供了可接受的化品效果,手术后并发症和危险性最小.
- 收获部位的线性关闭导致鼻皮内形成状痕.
结论:
- 基于melolabial的转移岛脚片是一个简单且耐受性很好的手术,用于鼻腔的ala重建.
- 对于患有警报缺陷和一个完整的警报边缘的患者来说,这是一个有效的替代方案,避免了移植的需要.
- 这种技术提供了一个可行的解决方案,可以在鼻重建中获得良好的化品效果,特别是当之前的鼻皮手术缺席时.
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