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目的探索老年人鼻癌切除后即时进行全鼻再造的可能性。方法对1例老年鼻基底细胞癌患者彻底切除鼻癌及受累鼻软骨后,创面即时用扩张后的额部岛状皮瓣行全鼻再造修复。拆线后配合放射治疗。结果随访2年,肿瘤无复发,再造鼻形态逼真。结论基底细胞癌恶性程度较低,发展缓慢,可以在额部行扩张术后,再作癌切除并同期行额部皮瓣全鼻再造术。此法既能治愈癌症,又能满足患者的生理及心理需求,提高患者生活质量。
Objective To explore the possibility of immediate nasal reconstruction after resection of the nasopharyngeal carcinoma in the elderly. Methods One case of nasal basal cell carcinoma in elderly patients with complete removal of nasal cancer and nasal cartilage involvement, the immediate use of the wound after the expansion of the amount of island flap repair the whole nasal reconstruction. After stitching with radiation therapy. The results of 2 years follow-up, no recurrence of the tumor, reconstruction of the nasal shape realistic. Conclusions Basal cell carcinoma is less malignant and has a slow development. It can be resected in the frontal line after the expansion of the frontal line and undergo the total nasal reconstruction of the frontal skin flap. This method can both cure cancer, but also to meet the physical and psychological needs of patients, improve patient quality of life.