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游离前臂皮瓣在外鼻恶性肿瘤术后缺损修复中应用

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目的:探讨游离前臂皮瓣在外鼻恶性肿瘤术后缺损修复中的应用效果.方法:对6例鼻部恶性肿瘤患者行外鼻恶性肿瘤根治性切除并同期行游离前臂皮瓣修复外鼻缺损,术前Allen实验及超声多普勒血流测量仪或CT血管造影确定前臂血管状态良好.结果:6例患者游离前臂皮瓣制备及修复外鼻部缺损均成功,随访6~12个月,所有患者外鼻形态恢复良好,鼻腔功能良好,无鼻塞及前鼻孔狭窄出现,供区手部无明显并发症,局部无癌症复发.结论:游离前臂皮瓣修复外鼻恶性肿瘤术后缺损成功率高,形态和功能恢复良好,是一种修复外鼻恶性肿瘤术后缺损的可靠方法.
Application of free forearm flap in reconstruction of postoperative defect of external nasal malignant tumor
Objective:To investigate the therapeutic effect of free forearm flaps in repairing the postoperative defect of external nasal malignant tumor.Methods:Six patients with nasal malignant tumor were treated with rad-ical operation of external nasal malignant tumor and simultaneous reconstruction of external nasal defects with free forearm flap.Preoperative Allen experiment,ultrasonic Doppler blood flow meter or CT angiography confirmed that the forearm blood vessels were in good condition.Results:The free forearm flaps were obtained from six pa-tients,and completely survived.During the follow-up period of 6-12months,all patients had good external nasal morphology,good nasal function,no nasal obstruction and anterior nostril stenosis,no obvious complications in donor hand and no local cancer recurrence.Conclusion:The free forearm flap is a reliable method to reconstruction the postoperative defect of external nasal malignant tumor,with a high success rate and good recovery of morphol-ogy and function recovery.

external nasal malignant tumorfree forearm flapreconstruction

孙晓强、孙黎波、王昌密、张春锋、梁云红

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四川省泸州市人民医院耳鼻咽喉头颈外科(四川泸州,646000)

四川省泸州市人民医院口腔科

外鼻恶性肿瘤 前臂皮瓣 修复重建

四川省医学会

S20086

2024

临床耳鼻咽喉头颈外科杂志
华中科技大学同济医学院附属协和医院

临床耳鼻咽喉头颈外科杂志

CSTPCD北大核心
影响因子:0.831
ISSN:1001-1781
年,卷(期):2024.38(9)