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目的:总结以侧鼻动脉为蒂的鼻唇沟皮瓣修复多个亚单位的鼻缺损的疗效。方法:2014-09-2016-04期间应用鼻唇沟皮瓣治疗多个亚单位的鼻缺损患者30例,术中采用以侧鼻动脉为蒂的鼻唇沟皮瓣修复缺损。结果:30例患者皮瓣全部成活,供区Ⅰ期愈合。术后24h内有2例患者出现静脉淤血现象,后自行缓解。25例于术后3~6个月行皮瓣修形术,23例患者获3~12个月随访。患者均对外观满意。结论:以侧鼻动脉为蒂的鼻唇沟皮瓣能够修复大面积的多个亚单位的鼻缺损,质地、颜色、厚薄与周围皮肤相近,是修复多个亚单位鼻缺损的有效方法之一。
OBJECTIVE: To summarize the curative effect of nasolabial flap pedicled with lateral nasal artery in repairing nasal defects of multiple subunits. METHODS: During the period of 2014-09-2016-04, nasolabial fold skin flap was used to treat 30 patients with nasal defects of multiple subunits. The nasolabial fold pedicled pedunculated lateral nasal artery was used to repair the defect. Results: The flaps of 30 patients all survived for the first phase of healed area. There were 2 cases of venous congestion in 24h after operation, and relieved afterwards. Twenty-five patients underwent skin flap revision 3 to 6 months after operation, and 23 patients were followed up for 3 to 12 months. Patients are satisfied with the appearance. CONCLUSIONS: The nasolabial fold pedicle pedicles pedunculated in the lateral nasal artery are capable of repairing nasal defects in large subunits over a large area, with texture, color and thickness being similar to those of the surrounding skin and is an effective method for repairing multiple subunits of nasal defects .