外伤性鼻部缺损鼻再造术中扩张后额部皮瓣的临床应用

Clinical application of the expanded forehead flap in traumatic nasal defect reconstruction

摘要:

目的 分析扩张后额部皮瓣在外伤性鼻部缺损修复中的应用效果，总结该术式修复外伤性鼻部缺损的临床经验。方法 回顾性分析2014年9月—2025年12月收治的20例外伤性鼻部缺损患者的临床资料，结合缺损范围、局部组织条件、治疗依从性及全身情况制定重建方案，20例患者均接受额部扩张皮瓣分期修复。结果 20例患者术后随访4个月至5年，所有皮瓣均成活，未发生局部感染、皮瓣坏死或支架变形及支架外露等并发症，患者鼻部外形、鼻腔通气功能及社会交往恢复情况总体满意。结论 针对外伤所致鼻部缺损，经个体化评估后采用扩张后额部皮瓣修复，可较好兼顾外鼻形态与通气功能重建，临床效果稳定。

Abstract:

Objective To analyze the clinical efficacy of expanded forehead flaps in repairing traumatic nasal defects, and to summarize the clinical experience of nasal reconstruction using expanded forehead flaps for traumatic nasal defects. Methods A retrospective analysis was conducted on 20 patients with post-traumatic nasal defects treated between September 2014 and December 2025. The reconstruction plans were formulated based on the defect range, local tissue conditions, treatment compliance, and general status. All the 20 patients underwent staged repair with the expanded forehead flaps. Results All flaps survived during follow-up of 4 months to 5 years. No infection, flap necrosis or stent deformation and exposure occurred. Nasal contour, airway patency and social recovery were generally satisfactory. Conclusions For traumatic nasal defects, after individualized preoperative evaluation, the expanded forehead flap is used for repair, which can effectively balance the external nasal morphology and nasal ventilation function reconstruction, and the clinical effect is stable.