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除大面积缺损外,额部、上睑、颊部以及颈部均可提供适量的软组织一期修复缺损。而下睑、内眦以及鼻部由于缺乏足够的软组织,小的缺损也难以一期修复。利用与缺损长度相等的V-Y推进皮瓣是修复上述缺损的理想方法,本文介绍了利用V-Y瓣修复鼻部缺损的经验。结果作者利用V-Y瓣对114例因鼻部基底细胞癌或鳞状细胞癌切除术后的鼻部缺损进行了修复。常用的V-Y瓣见附图。缺损直径的大小见附表。缺损的平均直径为13.5×11.0mm,如果直接缝合伤口,会造成鼻部畸形。对109个病例采用了单个V-Y推进瓣关闭
In addition to large defects, the forehead, upper eyelid, buccal and neck can provide the right amount of soft tissue a repair defect. The lower eyelid, the internal loin and the nose because of the lack of adequate soft tissue, small defects are also difficult to repair a. V-Y flap with the same length as defect is an ideal method to repair the defect. This paper introduces the experience of using V-Y flap to repair nasal defect. Results The authors used 114 V-Y flaps to repair nasal defects following resection of nasal basal or squamous cell carcinoma. Common V-Y valve see the attached figure. The size of the defect diameter see schedule. The average diameter of the defect is 13.5 × 11.0 mm. If the suture is directly sutured, the nasal deformity will be caused. A single V-Y was used to push the flap closed for 109 cases