Effect of lining restoration in reconstruction of nasal defects
10.3760/cma.j.issn.1671-0290.2024.04.003
- VernacularTitle:鼻缺损鼻再造修复术中鼻缺损衬里的修复效果
- Author:
Huichuan DUAN
1
;
Xiaoping ZHOU
;
Dong LI
;
Sizheng ZHOU
;
Liang XU
;
Zheyuan YU
;
Min WEI
;
Jie YUAN
Author Information
1. 上海交通大学医学院附属第九人民医院整复外科，上海 200023
- Keywords:
Nose;
Defects;
Nasal reconstruction;
Lining;
Restortion;
Flaps
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(4):316-319
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical outcomes of lining repair during the reconstruction of nasal defects.Methods:From January 2010 to December 2022, our team treated 15 nasal defect patients aged between 18 and 62 years with an average age of 38, including 8 males and 7 females. The range of the defect was more than one subunit in all cases. And forehead pedicled flaps were chosen for repair. For nasal reconstruction, expander was implanted to expand the central forehead flap. The choice of support depended on the range of the defect, including rib-rib cartilage composite grafts, rib cartilage grafts and ear cartilage grafts. The repair of the lining was selected with the original skin, local nasolabial flapor forehead pedicled flap to repair the mucosal defect of the nose. Postoperative follow-up was conducted to observe the effects.Results:Among the 15 patients, 8 cases underwent rib-rib cartilage composite grafts. 3 cases had rib cartilage grafts, and 4 cases had ear cartilage grafts. All the flaps survived with 1 case experiencing infection. Postoperative follow-up for 0.5 to 2 years showed that the appearance of nasal defects in all 15 cases was significantly improved, with satisfactory results.Conclusions:The repair of nasal defect lining requires a comprehensive analysis based on the specific location, range of the defect, and the selection of the donor area in order to ultimately determine the surgical approach.
