隧道皮瓣修复外鼻肿瘤切除术后缺损

目的 探讨隧道皮瓣修复外鼻肿瘤切除术后缺损的意义。 方法 回顾分析2012年6月至2014年6月收治的27例外鼻肿瘤的临床资料,均行手术切除并根据肿瘤位于外鼻的部位和侵犯深度的不同,设计不同的隧道皮瓣修复缺损。 结果 27例患者皮瓣均一期修复成活,2个月后外观自然、皮色相近,患者接受度高,随访3个月~2年,1例鳞状细胞癌复发,再次手术切除,术后放疗。 结论 隧道皮瓣修复外鼻肿瘤切除术后缺损,皮瓣成活率高,术后外观自然,患者易于接受。

Tunnel flaps repairing the defects in external nasal tumor resection

Objective To evaluate the effects of tunnel flaps to repair the defects in external nasal tumor resection. Methods A total of 27 cases of external nasal tumor were admitted into our hospital from June 2012 to June 2014. There were 18 males and 9 females, aged 31-90 years old, mean aged 59 years old, with a history of 6 months to 50 years. There were 7 cases of benign tumor, 4 cases of seborrheic keratosis, 2 cases of pleomorphic adenoma and 1 case of hemangioma. There were 20 cases of malignant tumor, 14 cases of basal cell carcinoma and 6 cases of squamous cell carcinoma. All tumors were removed by surgery. Tunnel flaps were designed to repair the defects depending on the invasion depth and location of the tumor. Results All tunnel flaps repaired the defects successfully at the primary stage and got a natural appearance and similar skin color two months later. All patients felt well at their appearances. There was only 1 case of squamous cell carcinoma recurrence, which was excised again and received radiotherapy in a 3 months to 2 years follow-up. Conclusion Tunnel flaps have a high survival rate and natural appearance in external nasal tumor resection. Patients feel satisfied at their appearance.