关键词: ala flap mohs nose surgery

Mesh : Humans Carcinoma, Basal Cell / surgery Nose / blood supply surgery Nose Neoplasms / surgery Rhinoplasty / methods Skin Neoplasms / surgery Surgical Flaps / blood supply

来  源:   DOI:10.1111/ajd.14265

Abstract:
For small defects of the anterior nasal ala, a V-Y pedicle advancement flap within the subunit is a useful repair option. Here we propose a modification of this technique, utilising careful dissection to identify inferior perforators of the superior alar artery. Basing this flap on a visualised vascular pedicle aims to prevent common complications of internal mucosal buckling and free margin notching, by allowing more extensive dissection without compromising the vascularity of the flap.
摘要:
对于前鼻翼的小缺陷,亚基内的V-Y椎弓根前移皮瓣是一种有用的修复选择。在这里,我们提出了这种技术的修改,利用仔细的解剖来识别上翼动脉的下穿支。将该皮瓣基于可视化的血管蒂,旨在防止内部粘膜屈曲和游离边缘缺口的常见并发症。通过允许更广泛的解剖而不损害皮瓣的血管。
公众号