zdorПроблемы здоровья и экологииHealth and Ecology Issues2220-09672708-6011Gomel State Medical University10.51523/2708-6011.2020-17-2-10zdor-198Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEКосметические результаты при устранении сквозных дефектов крыла носа лоскутами из щекиCosmetic results of reconstruction of full thickness nasal alar defects using cheek skin flapshttps://orcid.org/0000-0002-9256-2910ИвановС. А.IvanovS. A.

Иванов Сергей Анатольевич – к.м.н., доцент кафедры онкологии УО «Гомельский государственный медицинский университет»

e-mail: srgivgm@gmail.com

Sergei A. Ivanov – Candidate of Medical Sciences, Associate Professor at the Department of Oncology of the EI «Gomel State Medical University»

e-mail: srgivgm@gmail.com

srgivgm@gmail.comhttps://orcid.org/0000-0002-7342-3894ЯдченкоВ. Н.YadchenkoV. N.

Ядченко Владислав Николаевич – к.м.н., ассистент кафедры травматологии, ортопедии и ВПХ с курсом анестезиологии и интенсивной терапии УО «Гомельский государственный медицинский университет»

Vladislav N. Yadchenko – Candidate of Medical Sciences, Assistant lecturer at the Department of Traumatology, Orthopedics and Military Field Surgery with the course of Anesthesiology and Intensive Care of the EI «Gomel State Medical University»

noemail@neicon.ruhttps://orcid.org/0000-0002-4427-3268ПоддубныйА. А.PoddubnyA. A.

Поддубный Артем Артурович – студент 5-го курса лечебного факультета УО «Гомельский государственный медицинский университет»

Artyom A. Poddubny – 5-year student of the Faculty of General Medicine of the EI «Gomel State Medical University»

noemail@neicon.ruhttps://orcid.org/0000-0001-9590-0041ИвановаЕ. С.IvanovaE. S.

Иванова Екатерина Сергеевна – студент 5-го курса лечебного факультета УО «Гомельский государственный медицинский университет»

Ekaterina S. Ivanova – 5-year student of the Faculty of General Medicine of the EI «Gomel State Medical University»

noemail@neicon.ruУО «Гомельский государственный медицинский университет»Gomel State Medical University202028062020027077Copyright © Иванов С.А., Ядченко В.Н., Поддубный А.А., Иванова Е.С., 20202020Иванов С.А., Ядченко В.Н., Поддубный А.А., Иванова Е.С.Ivanov S.A., Yadchenko V.N., Poddubny A.A., Ivanova E.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.gsmu.by/jour/article/view/198

Цель исследования: проанализировать косметические результаты после устранения сквозных дефектов крыла носа лоскутами из щеки. Материал и методы. Исследованы результаты 29 операций. Реконструкции выполняли носогубным лоскутом и пазл-лоскутом. Косметические результаты оценивали по 5-балльной шкале путем опроса пациентов и экспертов. Результаты. Приемлемые результаты получены в 22 случаях по оценке экспертов и в 24 случаях - по оценке пациентов. Более высоко оценены цвет кожи и положение крыла носа, более низко - величина и форма крыла носа, размер наружного носового отверстия. Частота осложнений составила 11,1 %. Отсроченные корригирующие операции выполнены 10 пациентам. Заключение. Реконструкция крыла носа лоскутами из щеки при сквозном дефекте позволила получить приемлемый результат у большинства пациентов при минимальных изменениях донорской зоны.

Objective: to analyze cosmetic results following reconstruction of nasal alar defects using cheek skin flaps. Material and methods. The results of 29 operations were analyzed. The reconstruction was performed with nasolabial flaps and jigsaw puzzle flaps. The cosmetic outcomes were evaluated by the five-point scale by means of patient-report and specialist-report questionnaire. Results. Acceptable overall outcomes were achieved in 22 cases according to the experts’ assessment and in 24 cases according to the patients’ assessment. The highest scores were noted for alar color and position, and the lowest scores - for alar size, shape, and nostril size. The complication rate was 11.1 %. Delayed surgical corrections were undertaken in 10 patients. Conclusion. The reconstruction of full thickness nasal alar defects using cheek skin flaps made it possible to achieve acceptable outcomes with minimal donor site damage in the majority of the patients.

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The authors declare that there are no conflicts of interest present.