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鼻小柱的肿瘤切除术后的修复方法很多,最理想的手术方法是采用邻近组织皮瓣一期修复缺损。本文通过两个病例描述了横形叉状皮瓣重建鼻小柱的治疗方法。例1,女性,69岁,鼻小柱基底细胞癌切除后,用双侧蒂在中央的横形上唇皮瓣修复鼻小柱。皮瓣抬起后转移至鼻小柱区,两侧皮瓣并排后缝合。供区直接拉拢缝合后仅有轻微变形,术后9个月已不明显(图1)。例2,男性,79岁,患鼻小柱基底细胞癌,肿瘤切除后的缺损用一个单侧的蒂在中央的横形上唇皮瓣来修复。皮瓣向远处延伸尽可能覆盖一些鼻尖。术后6
Nasal columectomy after resection of many ways, the best surgical approach is to use the adjacent tissue flap repair defect. This article describes the treatment of transverse cross-shaped flap reconstruction columella through two cases. Example 1, Female, 69 years old, columella Following resection of the basal cell carcinoma, the columella was repaired with a lateral pedicle flap pedicled in the middle of the transverse pedicle. After the flap is lifted, it is transferred to the columella area and the flaps are sutured side by side. There was only a slight deformation of the donor area directly after suture closure, which was not obvious at 9 months (Figure 1). Example 2, Male, 79 years old suffering from columella basal cell carcinoma. The resected defect was repaired by a unilateral pedunculated lateral upper lip flap. The flap extends as far as possible to cover some of the tip of the nose. Postoperative 6