Reconstruction of nasal dorsal defect with metastatic skin flap

The upper half of the nose (2/5) has a certain degree of swimming, which is not as dense and sticky as the lower part of the nose (3/5). If there is a small defect in the skin here, it can be repaired with a flap near the nose. It has easy access and can often be completed in one (or two) phases. The thickness and color of the skin are very similar, the survival rate is high, the infection is less, the healing is good, and the cosmetic effect is good, so it is used by the doctors. Treatment of diseases: nasal trauma Indication It is more suitable for patients with loose skin in the elderly and ankles. For nasal defects, the cheek skin can be repaired. Contraindications Older, combined with severe heart, liver, kidney and other diseases and difficult to tolerate surgery. Preoperative preparation Before the operation, according to the size of the defect, a nasal side cheek flap should be designed and painted with a purple color. Surgical procedure 1. Cut the skin according to the shape and size of the painting, and separate it subcutaneously. 2. Renovate the edge of the skin at the defect, then extend the flap to complete the restoration. First, use a thin absorbable suture for subcutaneous suture, then suture the skin with 0-0-0 or finer thread, and a small triangular skin should be removed at the base of the flap to facilitate suturing. complication Wound infection.

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