耳后游离皮片在修复鼻小柱与上唇粘连外翻畸形中的临床
应用
丘基俊;石志艳;朱赛玲;薄红兵;甘学文
【期刊名称】《中国美容医学》 【年(卷),期】2013(022)014
【摘要】Objective To explore the clinical application of retroauricular free skin graft for the reconstruction of nasal columella and the upper lip adhesion and valgus deformity.Methods The skin graft should be designed first.When local anesthesia worked,scar tissue was released and the full thick skin graft in the mastoid area was moved.We fixed the pruned skin graft on the upper end of the defected nasal columella.Philtrum and philtrum column were formed with the mattress suture method.Recipient site was sutured interruptly.We fixed and packed it with proper pressure.The donor site was sutured directly.Results 8 cases accepted this kind of operation and all the skin grafts were survived.The incisions healed well.All cases were followed up from 6 months to 18 months.The nasal columella and the upper lip adhesion and valgus deformity was rectified.The color and texture of the transplanted skin grafts closed the regular tissue.There was no columella bias and obvious scar.Conclusion The retroauricular free skin graft can repair the nasal columella and the upper lip adhesion and valgus deformity with the advantages of small scar postoperative and