[Repair of nose and adjacent tissue defect deformities after burn]

Autor: Pi-hong, Zhang, Xiao-yuan, Huang, Li-cheng, Ren, Jian-hong, Long, Peng-ju, Fan, Ji-zhang, Zeng, Mu-zhang, Xiao
Rok vydání: 2010
Předmět:
Zdroj: Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns. 25(6)
ISSN: 1009-2587
Popis: To look for the best method of repairing nose and adjacent tissue defect after burn and observe the effect.Twelve patients with post-burn nose and adjacent tissue defect deformities hospitalized from January 1999 to December 2008 were repaired with expanded forehead flap, pedicled upper-arm flap, axial post-auricular reversed flow island flap, and nasolabial groove flap. Among them, 4 cases with total nasal defect, 8 cases with partial nasal defect; and 3 cases were accompanied with scars on cheek, 5 cases accompanied with scars on forehead, 5 cases accompanied with upper lip ectropion and subtotal upper lip defect. The skin flap size ranged from 3.0 cm x 1.5 cm to 10.0 cm x 8.0 cm.Five cases were repaired with expanded forehead flap, 3 cases with pedicled upper-arm flap, 1 case with axial post-auricular reversed flow island flap, and 3 cases with nasolabial groove flap respectively. All the 12 flaps survived. Patients were followed up for 1 to 7 years, and nasal function and appearance were obviously improved.Optimal repairing method shall be chosen to repair nasal defect after burn according to its extent, and forehead flap is preferred. Pedicled upper-arm flap and reversed flow axial post-auricular island flap can be employed if local flap and ortho-position skin flap are unavailable when obvious scar is present on face as a result of severe burn.
Databáze: OpenAIRE