Expanded Paramedian Forehead Flaps for Nasal Defects
Expanded Paramedian Forehead Flaps for Nasal Defects
复制标题
扩大前额旁正中皮瓣治疗鼻部缺损
DOI：
10.1097/sap.0000000000001371
复制
发表时间：
2018
影响因子：
1.5
通讯作者：
Neng qiang Guo
中科院分区：
文献类型：
--
作者：
Hai chun Ni;Jie cong Wang;Jia ming Sun;Neng qiang Guo
背景鼻尖缺损的重建对整形外科医生来说是一个重大挑战。所有鼻亚单位的形式、功能和美学吸引力都必须得到解决。扩大的前额旁正中皮瓣是鼻部重建的良好选择，提供相似的纹理、结构和肤色，并且可靠性高。本文讨论了作者对扩大的前额旁正中皮瓣在重建鼻尖或鼻尖周围缺损中所做的修改。方法本机构收治了 22 名鼻尖或鼻尖周围鼻缺损患者。十六名患者接受了前额皮瓣扩大的鼻重建。另有6例软骨缺损患者采用扩大前额皮瓣和自体肋骨软骨移植进行重建。功能和美容结果由外科医生、患者和患者亲属使用 1 到 10 的等级进行评估。结果所有患者的美观外观在手术后均得到显着改善。两例有轻度色素沉着过度。两名患者认为皮瓣太厚。三例病例的供体部位有轻微的眉毛抬高。供体部位无明显疤痕。未发生感染、皮瓣坏死、偏斜、塌陷等严重并发症。结论扩大额旁正中皮瓣是修复鼻尖及鼻尖周围缺损的一种安全有效的方法。此外，该技术可以带来良好的功能和美容效果，并且并发症很少。
BackgroundReconstruction of nasal tip defects presents a significant challenge for plastic surgeons. The form, function, and aesthetic appeal of all nasal subunits must be addressed. The expanded paramedian forehead flap is a good choice for nasal reconstruction, providing similar texture, structure, and skin color, and high reliability. This article discusses the authors' modification of the expanded paramedian forehead flap in reconstructing defects on or around the nasal tip.MethodsTwenty-two patients with nasal defects located on or around the nasal tip were treated in our institution. Sixteen patients underwent nasal reconstruction with expanded forehead flaps. The other 6 cases with cartilage defect underwent reconstruction with expanded forehead flaps and autogenous rib cartilage grafts. Functional and cosmetic results were assessed by surgeon, patient, and patient's relatives using a scale from 1 to 10.ResultsThe aesthetic appearance of all patients was significantly improved after surgery. Two cases had mild hyperpigmentation. Two patients considered the flaps too thick. Three cases had minor brow elevation at the donor site. There were no obvious scars at the donor sites. There were no serious complications, such as infection, flap necrosis, deviation, or collapse.ConclusionsThe expanded paramedian forehead flap is a safe and effective method for reconstructing defects located on or around the nasal tip. Moreover, this technique can result in good functional and cosmetic outcomes with very few complications.