基底细胞癌切除及双叶皮瓣鼻部重建

K. Kumar, Sumit Prinja, G. Bansal, Asuvini R, Simran Dhanoa, D. Rani
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摘要

基底细胞癌(BCC)是一种生长缓慢,局部破坏性的皮肤恶性肿瘤。它来源于来源于表皮基底层的非角化细胞。术后采用鼻唇瓣、前额正中鼻背瓣、眉间瓣、双叶瓣、颊瓣和颅面瓣重建鼻腔。Zitelli双叶皮瓣是鼻部重建中最有用的皮瓣之一。这是一个简单的双移位皮瓣,旨在移动更多的皮肤,而不会变形。一位60岁男性患者到我科就诊,主诉左侧鼻部圆形凸起及红色变色病变。在全身麻醉下,采用双叶皮瓣进行手术切除和缺损重建。皮瓣的设计是这样的,皮瓣可以翻转在鼻翼上的缺陷和关闭供区可以完成基本无畸形。手术切除鼻部病变,用双叶皮瓣重建。患者随访1年,无复发迹象。双叶瓣是一种多功能和可靠的皮瓣覆盖小的皮肤和软组织缺损的下三分之一的鼻子。如果设计得当,执行得当,它就会取得成功。在这个病例中,它帮助我们在基底细胞癌鼻子切除后获得了一个无缺陷的美观的鼻子。
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Basal cell carcinoma excision with bilobed flap nasal reconstruction
: Basal cell carcinoma (BCC) is a slow growing, locally destructive, malignant tumor of the skin. It is derived from non- keratinizing cells that originate from the basal layer of the epidermis. After excision nasolabial flap, median forehead dorsal nasal flap, glabellar flaps, bilobed flaps, cheek and craniofacial flaps are used for nasal reconstruction. The Zitelli’s bilobed flap is one of the most useful flaps for nasal reconstruction. It is a simple double transposition flap and is designed to move more skin, without deformation. A 60-years old male patient reported to our department with complains of circular raised and reddish discoloration lesion on the left side of the nose. Surgical excision and reconstruction of defect using bilobed flap was planned under general anaesthesia. The flap was designed in such a manner that the flap could be turned over the defect on the ala of the nose and closure of the donor site could be done primarily without deformity. Surgical excision of the nose lesion was done and reconstruction was performed using bilobed flap. The patient has been followed up for 1year with no evidence of recurrence. The bilobed flap is a versatile and reliable flap for coverage of small skin and soft tissue defects of the lower third of the nose. It gives a successful outcome if it is designed well and performed properly. In this case it helped us to achieve a defect free cosmetically fine nose after excision of basal cell carcinoma nose.
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