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九、鼻外伤缺损修复术
【适应证】
创伤或手术切除肿瘤造成的鼻部皮肤缺损需要整复,较小的创面采用局部拉拢缝合即可,较大的创面常采用皮瓣转移或植皮。
【手术方法】
根据外伤缺损的具体情况可做不同的皮瓣修复(图4-38~图4-46)。
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-38_1783.jpg?sign=1739558915-Nm1AWkBxXqg6BrnNsWF10hS6Jl6cjROR-0-4cb0e0079c51ad28a55d037912d70e84)
图4-38 鼻根部皮肤缺损
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-39_1787.jpg?sign=1739558915-cxbDCgYPj10d3M9ABO7acpLx6dcrLZqC-0-9040c447e8707dc9951505dadeab4c85)
图4-39 游离缝合
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-40_1790.jpg?sign=1739558915-Gd58xEccjqRyxUeVlSw4PWDIlyCQs1c4-0-3db633955a1fe68f0d11a40add69e9aa)
图4-40 旗状形皮瓣缝合
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-41_1796.jpg?sign=1739558915-BrrV6AX4GaYclGqLUMPcUdSpgGfiKEUJ-0-e055ebe3968e7d3eaf5f9e2cdfdbbf8a)
图4-41 制作成a和b两点皮瓣
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-42_1800.jpg?sign=1739558915-uIsx5eOQz2YqFBVOy2z81GdLo9GAP8R9-0-f972d39a9ee2fc610bbb1c3f306b0f21)
图4-42 游离皮瓣
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-43_1803.jpg?sign=1739558915-LZY7k6L5HP9XvcL3oWmNf11tAKAGcFZn-0-578fe49b754b4e8cbbffb57ec1943e03)
图4-43 缝合皮瓣
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-44_1807.jpg?sign=1739558915-DUn0Z3bzpdOVZMdIRhb66TbYXNqXZZCP-0-5ee1ffbdf856c71761354622b6447a33)
图4-44 鼻侧缺损皮瓣制作
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-45_1810.jpg?sign=1739558915-Oj7qHPCTJpC32SsmvZBU0x7TBI6tHrqM-0-ea5aa7cb0e576a9bcabdeede270ce7c0)
图4-45 游离缝合
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-46_1815.jpg?sign=1739558915-3s0HrHkZ3i5fx9e96EI9jL9Xe2ALh6nA-0-3439641ed0e62c973bdd4d8c30543ccb)
图4-46 侧鼻皮肤旋转推进缝合