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目的 探讨鼻部软组织缺损的有效方法 ,以尽可能使修复组织在色泽、质地上与鼻部局部组织相近 ,且切口瘢痕隐蔽。方法 结合Burget鼻部美学分区 ,将其再分为三个区域 ,根据分区选用局部或邻位皮瓣修复鼻部各区软组织缺损 30例 (鼻根部以Rintala鼻额部局部皮瓣推进 3例 ;鼻中段的鼻背部行双侧斧状局部皮瓣旋转 3例 ;鼻侧壁行对侧壁局部皮瓣转移 ,供区植皮 4例 ;鼻端部以鼻唇沟皮下蒂岛状瓣转移修复鼻尖部 7例 ;鼻唇沟局部皮瓣旋转修复鼻翼部 7例 ;鼻背轴型皮瓣旋转修复鼻小柱 6例 )。结果 修复效果满意。结论 根据鼻部分区选用局部或邻位皮瓣是修复鼻部软组织缺损的较好方法。
Objective To explore the effective method of nasal soft tissue defect, in order to make the repair tissue in the color and texture similar to the local tissue of the nose as far as possible, and the incision scar hidden. Methods According to the Burget nose aesthetics division, it was subdivided into three regions, and 30 cases of soft tissue defect in each region of nasal area were repaired by local or orthopedic flaps according to the region (nasal roots were advanced by local flap of Rintala nasal part in 3 cases; In the middle part, axillary local flap rotation occurred in 3 cases on both sides of nasal dorsal line. Local flap on lateral wall of nasal wall was transfered to provide skin graft in 4 cases. Nasal tip 7 cases; nasolabial fissure local flap rotation repair nasal wing in 7 cases; nasal axis type flap rotation repair columella in 6 cases). Results satisfactory results. Conclusion According to the nasal subarachnoid area selection of the local or orthopedic flap is a good way to repair nasal soft tissue defects.