旁位前额皮瓣治疗鼻大面积皮肤缺损:二十年经验。

IF 0.7 Q4 OTORHINOLARYNGOLOGY Turkish Archives of Otorhinolaryngology Pub Date : 2022-09-01 Epub Date: 2022-11-15 DOI:10.4274/tao.2022.2021-12-9
Fazıl Apaydın, İsa Kaya, Mustafa Uslu, Veysel Berber
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摘要

目的:皮肤癌最常见于头颈部,其中鼻子是最常见的受累部位。鼻子是脸部最容易受到外伤、阳光和其他环境因素影响的部位。从美学和功能的角度来看,皮肤癌切除后缺损的重建对外科医生来说是一个巨大的挑战。在这一回顾性研究中,我们介绍了在过去的20年里,用旁位前额皮瓣修复鼻子的大缺陷的成功率。方法:选取2000 - 2020年在埃格大学医学院耳鼻喉科因鼻皮肤肿瘤[基底细胞癌(BCC)和鳞状细胞癌(SCC)]行旁位前额皮瓣治疗的62例患者。从患者档案、组织病理学检查结果和患者照片中回顾性获得随访时间、患者年龄和性别、缺陷大小、肿瘤类型等数据。其他疾病如糖尿病、高血压和冠状动脉疾病也可能影响皮瓣的成功。结果:62例患者中,女性29例(46.8%),男性33例(53.2%)。平均年龄为61.4岁(范围:46-88岁)。平均随访125.6(8-244)个月。62例患者中,33例(53.2%)行BCC手术,29例(46.8%)行SCC手术。随访期间有4例(6.5%)复发。额旁瓣无缺损。结论:旁位前额皮瓣是修复较大鼻部缺损的一种可靠的选择,即使对吸烟者和有其他合并症的老年患者也是如此。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Paramedian Forehead Flap in Large Nasal Skin Defects: Twenty-years' Experience.

Objective: Skin cancers occur most commonly in the head and neck region where the nose is the most commonly affected unit. The nose is the part of the face that is most exposed to trauma, sunlight, and other environmental factors. From the aesthetic and functional point of view, reconstruction of the defects occurring after skin cancer removal creates a great challenge for the surgeon. In this retrospective study, we present the success rates achieved in the past 20 years with paramedian forehead flaps used for repairing large defects of the nose.

Methods: The study included 62 patients who underwent paramedian forehead flap due to nasal skin tumor [basal cell carcinoma (BCC) and squamous cell carcinoma (SCC)] in Ege University Faculty of Medicine Otolaryngology Department between 2000 and 2020. Data on follow-up time, patients' age and gender, defect sizes, and tumor types were obtained retrospectively from patient files, histopathologic examination results and patient photographs. Additional diseases such as diabetes, hypertension, and coronary artery disease that could affect flap success, were noted.

Results: Out of 62 patients 29 (46.8%) were female and 33 (53.2%) were male. Their mean age was 61.4 (range: 46-88) years. Mean follow-up period was 125.6 (8-244) months. Of the 62 patients 33 (53.2%) were operated on for BCC and 29 (46.8%) for SCC. Four patients (6.5%) had recurrences during their follow-up. There was no loss of the paramedian forehead flap.

Conclusion: Paramedian forehead flap is a reliable option in the reconstruction of larger defects of the nose even in smokers and elderly patients who have comorbid diseases.

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