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王某,女,64岁。因鼻背部基底细胞癌术后复发于1988-10-05入院。专科检查:右侧鼻背皮肤有两个硬结,直径O.5cm,略突出皮肤,基底固定,表面无破溃。两结节中央有一条疤痕,长1.5cm。诊断:右鼻背部基底细胞癌术后复发。治疗:局麻下扩大切除肿瘤,同时切除深部部分骨和软骨,鼻侧粘骨膜完整,形成缺损区为2cm×3cm大小,采用带眶下血管的鼻唇沟皮瓣修复。首先,在右侧眶下缘中点下方约1cm处定出眶下孔的泣置,测量该孔至缺损区的距离,根
Wang, female, 64 years old. Due to nasal back basal cell carcinoma recurrence in 1988-10-05 postoperative admission. Specialist examination: the right nostril skin has two induration, diameter O.5cm, slightly protruding skin, the base is fixed, the surface without rupture. Two nodules in the center of a scar, length 1.5cm. Diagnosis: Right nasal back basal cell carcinoma recurrence. Treatment: Expand the tumor under local anesthesia, while removal of the deep part of the bones and cartilage, nasal mucoperiosteal integrity, the formation of defect area size of 2cm × 3cm, with nasolabial fold flap with infraorbital vessels repair. First of all, we set the infraorbital foramen about 1 cm below the midpoint of the right infraorbital rim to measure the distance between the hole and the defect area. The root