通讯作者: wangxi, 1056591015@qq.com

DOI：10.12201/bmr.202601.00089

Lateral Cheek Rotation Flap Combined with Z-Plasty for Reconstruction of Postoperative Defect Following Nasal Sidewall Malignant Tumor Resection: A Case Report and Literature Review

• 摘要：目的：报告1例应用局部皮瓣联合Z成形术修复鼻侧壁-鼻翼交界区恶性肿瘤术后缺损的病例，并复习相关文献探讨该联合术式的应用价值。方法：此联合手术方式较新颖，效果较好。通过检索中英文数据库（PubMed, CNKI, Wanfang等），复习局部皮瓣、Z成形术及两者联合在鼻面部缺损修复中的应用文献。结果：该例患者术后皮瓣完全存活，伤口一期愈合。随访3个月，无肿瘤复发，鼻翼、鼻唇沟形态自然对称，无下睑外翻、鼻孔变形等并发症，瘢痕隐蔽，美学效果满意。结论：局部皮瓣联合Z成形术是修复鼻侧壁-鼻翼交界区等特殊部位缺损的有效方法，能兼顾肿瘤根治、功能重建与美学恢复，尤其适用于需要避免邻近器官移位的复杂缺损。该联合术式具有操作相对简便、单次完成、效果可靠的优点。

  关键词： 鼻侧壁-鼻翼交界区；缺损修复；局部旋转皮瓣；Z成形术；皮肤肿物。

   

  Abstract: Objective To present a case report on the application of a lateral cheek rotation flap combined with Z-plasty for reconstructing a postoperative defect following nasal sidewall malignant tumor resection, and to review the relevant literature to discuss the value of this combined technique. Methods: This combined surgical approach is relatively novel and yielded favorable outcomes. Literature regarding the application of the lateral cheek rotation flap, Z-plasty, and their combination in the reconstruction of nasal and facial defects was reviewed by searching Chinese and English databases (including PubMed, CNKI, and Wanfang). Results: The patients flap survived completely, and the wound healed by primary intention. During the 3-month follow-up period, there was no tumor recurrence. The nasal ala and nasolabial fold exhibited natural symmetry, with no complications such as lower eyelid ectropion or nasal vestibule distortion. The scar was inconspicuous, and the aesthetic outcome was satisfactory. Conclusion: The combination of a lateral cheek rotation flap and Z-plasty is an effective method for reconstructing defects in specific areas such as the nasal ala-nasolabial groove junction. It successfully balances the requirements of radical tumor resection, functional restoration, and aesthetic rehabilitation, proving particularly suitable for complex defects where displacement of adjacent structures must be avoided. This combined procedure offers the advantages of relative technical simplicity, single-stage completion, and reliable outcomes.

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  提交时间：2026-01-30

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• 序号	提交日期	编号	操作
  1	2025-10-30	10.12201/bmr.202601.00089V1	下载

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