- 期刊
Single-Stage Reconstruction of A Large-Sized Nasal Skin Defect Using Bilateral Nasolabial Transposition Flaps- A Case Report
使用雙側鼻唇溝轉位皮瓣單一階段手術重建鼻部大範圍皮膚缺損─病例報告
摘要
背景：鼻部的全層皮膚缺損常導因於外傷或腫瘤切除術後，而重建大範圍鼻部缺損是具有挑戰性的，而使用雙側鼻唇溝轉位皮瓣單一階段手術重建鼻部大範圍全層皮膚缺損的文獻報告是少見的。目的及目標：我們提出一個原發性的鼻部基底細胞癌，做廣泛性切除後接受雙側鼻唇溝轉位皮瓣重建術後的結果及追蹤。材料及方法：一名89歲的鼻部腫瘤患者，已保守性治療達一年之久。切片病理報告顯示為基底細胞癌併局灶性。考量病患的年紀及潛在合併症，我們在局部麻醉下施行廣泛性的腫瘤切除及雙側鼻唇溝轉位皮瓣重建的一次性手術。結果：經過15個月的追蹤，皮瓣癒合良好且沒有任何併發症或腫瘤復發的跡象。雖然起先有朝天鼻畸形併左側鼻翼上揚的情形，但追蹤後逐漸改善，患者滿意該外觀及拒絕再接受任何鼻部外觀矯正手術。結論：重建鼻部大範圍皮膚缺損是具有挑戰性的，而且可以做為重建的選擇並不多。我們成功的利用雙側鼻唇溝轉位皮瓣重建較大的鼻部缺損。這是一個相對簡單有效率及單一階段就可以完成的手術。
關鍵字
無資料並列摘要
Background: Full-thickness nasal defects may result from trauma or tumor resection, and the management of these defects can pose a significant challenge. There have been rare reports on using bilateral nasolabial transposition flaps to reconstruct a large nasal defect. Aim and Objectives: We report the reconstruction of a large nasal defect using bilateral nasolabial rotation flaps after the wide excision of a basal cell carcinoma. Materials and Methods: An 89-year-old male patient with a tumor on his nose that had been treated conservatively for 1 year. The histological examination revealed basal cell carcinoma with focally infiltrative features. Because of the patient’s age and pre-existing comorbidities, we performed a wide excision of the tumor and reconstructed the resulting defect in a single-stage procedure with bilateral nasolabial transposition flaps under local anesthesia. Results: At the 15-month follow-up, the flaps showed survived without evidence of local recurrence. The resulting short nose deformity with cephalic rotation of the left nasal alar lobule improved during the follow-up period. This patient was satisfied with the cosmetic outcome and refused any further surgery. Conclusions: In this patient, we successfully used bilateral nasolabial transposition flaps to reconstruct a nasal defect. It is an effective, simple, single-stage reconstructive procedure to repair large nasal defects.
延伸閱讀
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