[1]逯 艳,王振宇,裴 洁,等. 多个局部皮瓣联合修复鼻小柱与上唇瘢痕挛缩畸形[J].中国美容医学,2019,(09):56-59.
　LU Yan,WANG Zhen-yu,PEI Jie,et al. Clinical Effect of Multiple Local Skin Flaps in Repairing Scar Contracture Deformity ofNasal Columella and Upper Lip[J].Medical Aesthetics and Beauty,2019,(09):56-59.
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 多个局部皮瓣联合修复鼻小柱与上唇瘢痕挛缩畸形
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年09期
页码:
56-59
栏目:
出版日期:
2019-09-05

文章信息/Info

Title:
 Clinical Effect of Multiple Local Skin Flaps in Repairing Scar Contracture Deformity of
Nasal Columella and Upper Lip
文章编号:
1008-6455（2019）09-0056-04
作者:
逯 艳1; 王振宇1; 裴 洁2; 贺梦男1; 高晓博1; 王小兵3
Author(s):
LU Yan1; WANG Zhen-yu1; PEI Jie2; HE Meng-nan1; GAO Xiao-bo1; WANG Xiao-bing3
关键词:
 ; [关键词]瘢痕瓣; 对合皮瓣; 鼻小柱; 瘢痕挛缩; 上唇外翻
Keywords:
Key words: scar flap;  combined flaps;  nasal columella;  contracture deformity;  upper lip valgus
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：观察多个局部皮瓣联合应用修复鼻小柱与上唇瘢痕挛缩畸形的美学效果。方法：针对鼻唇中央瘢痕粘连挛缩引
起的上唇外翻及鼻小柱短缩畸形，在上唇瘢痕区设计局部瘢痕瓣，将其向上推进重塑鼻小柱外形；在鼻小柱侧面分别设计
“U”形皮瓣，将其旋转至鼻小柱下方形成对合皮瓣，重建鼻小柱基底；红唇缘复位后残留创面根据其大小分别选用直接缝
合、游离皮片移植或下唇交叉皮瓣等进行创面闭合，矫正上唇外翻畸形。结果：鼻小柱与上唇瘢痕挛缩畸形采用上述方法修
复后鼻、唇均恢复其解剖位，唇外翻畸形矫正效果好，人中、唇峰、唇红线流畅，对称性好，鼻小柱延长效果显著，伤口均
一期愈合；随访6～18个月发现术区瘢痕隐蔽，术后效果满意。结论：多个局部皮瓣联合应用在鼻小柱与上唇瘢痕挛缩畸形
修复中可兼顾上唇外翻和鼻小柱短缩畸形，能最大程度恢复鼻唇区美学外观，值得临床推广应用。

Abstract:
Abstract: Objective To observe the aesthetic effect of multiple local flaps on repairing nasal columella and upper lip
contracture deformity. Methods Design local flaps for patients with upper lip valgus deformity and the nasal columella
shortening deformity caused by the contracture deformities, one local scar flap was designed in the upper lip scar area, we will
push it up to reshape the nasal columella appearance. Two "U" flaps were designed on the side of the nasal columella, which
was rotated to the bottom of the nasal columella to form involutive flap, the flap can reconstruct the base of the nasal columella.
After reconstruct the Cupid bow, the remainingl wound can be closed by direct suture, free skin grafting or lower lip cross flap
according to its size. Results The patients with nasal columella and upper lip contracture deformitys were repaired with the
method mentioned above, after the treatment their nasal and labial were restored to normal anatomic position. The correction
effect of the lip valgus deformity was good, the phiitrum lip peak and red line of the lip were all smooth and symmetric, and the
nasal columella was extended. All wounds healed in the first stage. After 6 to 18 months of follow-up, we found that the surgical
scars were concealed and the postoperative results were satisfactory. Conclusion The combined application of multiple local
flaps in repairing of patients with nasal columella and upper lip contracture deformitys can correct both upper lip valgus and
nasal columella shortening deformity, which can restore the aesthetic appearance of nasal lip region to the greatest extent. In
summary, this method is worthy of being promoted and applied.

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更新日期/Last Update: 2019-09-24