鼻根部基底细胞癌切除后局部缺损皮瓣Ⅰ期修复的临床观察

目的总结临床应用面部局部皮瓣对鼻根部基底细胞癌根治术后局部缺损进行Ⅰ期修复的经验。方法对2007年9月~2014年9月22例鼻根部基底细胞癌根治切除后行局部皮瓣Ⅰ期修复的临床资料进行回顾性分析。选择利用数种局部皮瓣进行Ⅰ期修复和重建。结果22例患者皮瓣均Ⅰ期存活。随访6~12个月均无肿瘤复发。术后外观患者满意。结论在根治性切除外鼻部基底细胞癌的基础上，根据肿瘤切除后遗留的鼻根部缺损的部位、范围和大小，可以选择和设计不同而较为合适的皮瓣进行修复。局部皮瓣具有血供确切、存活率较高、取材灵活、手术操作较为简便等多项优点。可以为鼻部肿瘤切除后缺损提供较好的治疗方案。

Primary flap repair of local defects after resection of basal cell carcinoma on nasal root

ObjectiveTo summarize our experience on primary flap repair of local defects caused by the radical excision of basal cell carcinoma in the region of nasal root.MethodsClinical data of 22 patients suffering from basal cell carcinoma of nasal root radically excised followed with primary flap repair of local defect in our department between Sept. 2007 and Sept. 2014 were analyzed retrospectively. For the primary repair and reconstruction, several types of local flaps were adopted.ResultsThe local flaps survived in all 22 cases. Follow up for 6 to 12 months revealed satisfactory appearance without neoplasm recurrence.ConclusionsOn the basis of radical excision of basal cell carcinoma of nasal root, various kinds of flaps can be designed and the most appropriate one should be chosen to repair the defect according to its location, range and size. With advantages of definite blood supply, relatively high survival rate, flexible acquisition as well as simplicity and convenience in operation, local flap provides satisfactory therapeutic regimen for repair of defect caused by nasal tumor excision.