Clinical Application Of Keep Facial Artery Perforators Of Nasolabial Flap Reconstruction Of Nasal Defects

Objective:To investigate the retention of facial artery perforator flap pediclenasolabial repair surgical staging and clinical effect of nasal tip defect.Methods:August2012~April2014, the First Hospital of Jilin University, cosmeticsurgery were treated in emergency trauma resulting in12patients with defectsin the nose area.8males and4females; age range35to56years, mean45.5years. The minimum range defect involving only the tip of the nose alone, thelargest range of defects involving the side of the majority of the nose, the entirecolumella and contralateral part of the whole layer of the nose. Intraoperativeaccording to defect size at the side of the nasolabial fold or double-leaf cloverdesign flap pedicle located on the side of its nose to the base1cm1cm innercircle, the radius of the arc range of0.8cm from distal to the flap subcutaneouslayer began to separate, to retain the pedicle blunt dissection from theinfraorbital artery, angular facial artery and small artery perforator, not isolatedartery, I flap rotation period covering the wound by trefoil flap design,completely rebuilt nose, columella and nasal structure, pedicle full-thicknessskin graft can be applied as a temporary covering. six weeks after surgery torepair two rows nasal tip shape, playing thin flap bloated,3weeks after thepedicle.5cases of autologous cartilage graft reconstruction ear cavity nose andnose. For district sutured directly. Ipsilateral nasal surgery process supported bya support, to avoid distortion.Results:The group was successful in all12patients. After5~24h,3patients flapdistal venous congestion phenomenon, dressing every other day for3days and relieve itself; flaps survived.1patient pedicle slightly bloated, after3to6months line trim flaps surgery.12patients were followed up for3to12months.Repair the defect area where the maximum3×4cm, contains most of the noseand the side of the nose, all the columella and contralateral part of the wholelayer of the nose, the nose restored. Columella and the three-dimensionalstructure of the nose. Flap homogeneously soft, normal color, nose shape wellwithout ventilatory defect. No significant donor site scar.Conclusions:Retain facial artery perforator pedicle flap from the nose and nasolabialnearly defect, with rich and reliable blood supply, flap survival rate, goodtexture, easy to operate, deep tissue damage, etc, and postoperative scar covert,maintaining the integrity of the various aesthetic nasal subunits. Surgicaltreatment is a better way to repair the nose area of the middle area of the defect.