30例鼻面部基底细胞癌术后缺损邻近皮瓣修复的临床分析

Clinical analysis of reconstruction of adjacent skin flaps for defects after nose and facial basal cell carcinoma: a retrospective analysis of 30 cases

摘要:

目的探讨鼻面部基底细胞癌切除后局部组织缺损不同修复方法的特点。方法收集2012—2021年在衡水市第四人民医院耳鼻咽喉头颈外科手术治疗的鼻面部基底细胞癌患者30例，发生部位包括鼻背、鼻尖、鼻翼、面部等，缺损部位依据个性化原则分别采取鼻唇沟任意皮瓣、推进皮瓣、Z形皮瓣、V-Y成形皮瓣、菱形皮瓣等进行修复。结果 30例皮瓣全部成活，无感染及坏死，2例轻度愈合不良，经换药后愈合。结论外鼻及面部缺损依据其部位、大小、形状，在邻近部位设计切取皮瓣修复，方法简便，皮瓣成活率高，并发症发生率低，术后美容效果满意。

Abstract:

Objective To explore the characteristics of different repair Methods for local tissue defects after resection of nasal and facial basal cell carcinoma. Methods Thirty patients with nasal and facial basal cell carcinoma were included, who were surgically treated in the department of otolaryngology head and neck surgery of the fourth people’s hospital of Hengshui City from 2012 to 2021. The lesion sites included the dorsum of the nose, the nasal tip, the nasal alae, the face, etc. The defect sites were repaired respectively by nasolabial random flaps, advancement flaps, Z-shaped flaps, V-Y advancement flaps, rhomboid flaps, etc. according to the principle of individualization. Results All the 30 flaps survived without infection or necrosis. Two cases of them had mild poor healing and healed after dressing change. Conclusions Incision of repair flaps for external nasal and facial defects is designed, which is based on the location, size and shape for repair. The method of repair flaps is simple, the flap survival rate is high, the incidence of complications is low, and the postoperative cosmetic effect is satisfactory.