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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=1739567755-5ix90TntBdhKr4w7CmFn8C2VcVcMjG92-0-40c67bc6058d84d61e2e00e5eb32a7a2)
图4-38 鼻根部皮肤缺损
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-39_1787.jpg?sign=1739567755-g1FdgPi6XatYD4JGSKoVFr0LdraReDkS-0-d94423b18d8c7fdfd0be53528fa69e05)
图4-39 游离缝合
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-40_1790.jpg?sign=1739567755-lR8A3wcRbetonEtl5wJmAhccAYSvrG4B-0-78e91efaa2d8ceb83cd0747cee1cc181)
图4-40 旗状形皮瓣缝合
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-41_1796.jpg?sign=1739567755-rPB0LxMtlyGHvNk9HtZ81sTjDQaOrOdj-0-5b152f7a5b1be81b53f6d5216916afd1)
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=1739567755-iCJzDPC1ic6hguGjL6RR4QynSsCkUjiS-0-9dac45da7de1f88aad2998dcaded8859)
图4-42 游离皮瓣
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-43_1803.jpg?sign=1739567755-xSAqcu9S6mA47ONALE3iJyn6D51NGNtF-0-cd426dfac02917696fe2c67b861ac54f)
图4-43 缝合皮瓣
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-44_1807.jpg?sign=1739567755-LfkQLpSMaG32ZvfmlsDq7PkwP6FUPyP2-0-33e1b37e77e26d36aaa02710aa2bfb96)
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=1739567755-QxIuE3eqa4Pa5jEMWoQ1OY7vPjiKzEnl-0-ba8418e5a619dbdbee71fab04d40b711)
图4-45 游离缝合
![](https://epubservercos.yuewen.com/004EB2/15859874005042006/epubprivate/OEBPS/Images/P4-46_1815.jpg?sign=1739567755-OiF0Mch7c6eIpfJ9hMfNpYs7xS1wi0ab-0-7211657f28c8f362af40f32dac2fc178)
图4-46 侧鼻皮肤旋转推进缝合