山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (2): 59-61.doi: 10.6040/j.issn.1673-3770.0.2016.108

• 论著 • 上一篇    下一篇

隧道皮瓣修复外鼻肿瘤切除术后缺损

王俊明1,2,宋西成1,李大建1   

  1. 1.青岛大学医学院附属烟台毓璜顶医院耳鼻咽喉头颈外科, 山东 烟台 264000;
    2.潍坊市寒亭区人民医院耳鼻咽喉头颈外科, 山东 潍坊 261100
  • 收稿日期:2016-03-14 出版日期:2016-04-16 发布日期:2016-04-16
  • 通讯作者: 宋西成. E-mail:songxicheng@126.com E-mail:walihuu@sina.co
  • 作者简介:王俊明. E-mail:walihuu@sina.co

Tunnel flaps repairing the defects in external nasal tumor resection.

WANG Junming1,2, SONG Xicheng1, LI Dajian   

  1. Department of Otolaryngology Head &Neck Surgery, 1. Yantai Yuanghuangding Hospital, School of Medicine, Qingdao University, Qingdao 264000, Shandong, China;2. Peoples Hospital of Hanting District of Weifang, Weifang 261100, Shandong, China
  • Received:2016-03-14 Online:2016-04-16 Published:2016-04-16

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摘要： 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。

关键词: 肿瘤, 缺损, 修复, 隧道皮瓣

Abstract: 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.

Key words: Tunnel Flap, Defect, Tumor, Repair

中图分类号: 

  • R765.11
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