外伤性鼻缺损鼻再造术中扩张后额瓣的临床应用

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，并总结扩张后额瓣修复外伤性鼻部缺损的临床经验。方法 回顾2014年9月至2025年12月收治的20例外伤后鼻部缺损患者，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例均采用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，皮瓣均成活，未出现局部感染、坏死或支架排异。鼻部外形、鼻腔通气及社会交往恢复情况总体满意。结论 对于外伤造成的鼻部缺损，在个体化评估后应用扩张后额部皮瓣修复，能较好兼顾外鼻形态和通气功能重建，具有较稳定的临床效果。

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 Twenty patients with post-traumatic nasal defects treated between September 2014 and December 2025 were retrospectively reviewed. Reconstruction plans were made according to defect size, local tissue condition, treatment compliance and general status. All 20 patients underwent staged repair with expanded forehead flaps. Results All flaps survived during follow-up of 4 months to 5 years. No infection, flap necrosis or implant rejection occurred. Nasal contour, airway patency and social recovery were generally satisfactory. Conclusion After individualized preoperative evaluation, expanded forehead flaps can effectively balance the external nasal morphology and nasal ventilatory function reconstruction for traumatic nasal defects, and has a relatively stable long-term clinical efficacy.