Nasal Tumor Resection and Skin Grafting

There is a defect in the outside of the nose after the removal of the nasal tumor, and skin grafting is required. Treating diseases: nasal tumors Indication The external part of the nose is damaged or damaged, and it needs to be transplanted with a pedicle flap. Surgery is often done in fractions and takes longer. Preoperative preparation Each operation must be strictly protected against infection, ensuring a sufficient blood supply to the flap. If the patient has an acute infection or bloated, it should be actively controlled, and surgery can be performed after recovery. In addition, it is important to pay attention to factors affecting blood supply, such as colder climate, post-radiation treatment, newer scars, etc., should be fully estimated before surgery. Surgical procedure 1. If the nose is large, no excess skin can be peeled off as a lining, then the operation can be carried out in three phases. In the first stage, the forehead flap was firstly taken, and the thigh slice was transplanted to the frontal flap for 2/3, and then the flap was still sutured back to the forehead. After the graft was transplanted, the second was performed. Period of surgery. According to the above method, the forehead flap was resected and sutured in the nose. After 3 to 4 weeks, the flap was transplanted to the nose and the rubber band was ligated to the pedicle. If there was no obvious color change, the flap was not needed. The blood supply to the pedicle is feasible. At this time, the third operation is feasible. The pedicle is cut and sutured at the base of the nose, and the excess pedicle skin is spread back to the forehead. 2. After half a year, the shape and contraction of the nose have been relatively stable. If the nasal shape is lower, the nasal stent can be reconstructed, and the nasal bridge and the nasal column can be reconstructed with autologous cartilage or bone. See the saddle nose plastic surgery for the surgical method. complication There are two types of graft flaps: the forehead flap and the arm flap. The former is relatively simple and easy to operate, but the disadvantage is that the forehead will leave scars, and the forehead skin is limited, the forehead is small or the defect is better, the skin may not be enough; the arm flap is taken from the inside of the upper arm, the flap Can be larger, but must first be made into a skin tube, after the blood supply is improved, then the proximal end is transplanted to the nasal root, and then the blood supply at the nasal root transplantation can make the skin survive, then cut off the distal end, open the skin The tube performs a skin surgery.