Clinical study regarding nasal reconstruction methods

Ionita, Sabina; Lascăr, Ioan

doi:10.1515/rjr-2015-0005

Cited by 1 publication

(1 citation statement)

References 13 publications

(11 reference statements)

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“…Extensive defects imply using a complex surgical treatment, following several steps in order to achieve structural and, most importantly, functional restoration of the nasal region. The main objectives are: restoration of the support mechanisms -bone and cartilage structures, nasal mucosa and skin, anticipating a high standard healing, with normal aspect tissues, minimal scars and a stable result in time 4 . Not only must the tissues be similar to those that they replace, but they must have certain characteristics, such as: the covering skin must have normal aspect, be slim, congruous and vascular, the lining must be slim, supple and vascular, and it must not affect the airway, nor deform the shape of the nose because of too much bulk or rigidity.…”

Section: Introductionmentioning

confidence: 99%

The role of cartilage and bone allografts in nasal reconstruction

Grosu-Bularda

Manea

Lazarescu

et al. 2016

Romanian Journal of Rhinology

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Nasal reconstruction is challenging, considering surgical techniques complexity and difficulties in remodelling a tridimensional structure. Reconstructive requirements are: correct deformity evaluation, selecting the most suitable treatment option, respecting the principle of aesthetic subunit, appropriate reconstruction of each affected nasal layer, long-term stabile functional and aesthetic results. Reconstructive procedures range from simple to very complex. Conventional techniques can fail in restoring a satisfactory appearance in severely disfigured patients, for whom a new possibility arises: Vascularized Composite Allografts (VCA) transplantation. In this paper, we focus on nasal skeletal framework restoration. Structural defects may require a large amount of reconstructive material obtained usually from cartilage or bone autografts. Autologous cartilage is the gold standard in nasal architectural recovery, but in some cases, autologous graft sources are not available, imposing the necessity to use alternative solutions represented by the allografts or alloplastic materials. We analysed the specific features of skeletal allografts used in nasal reconstruction. With current clinical experience, the use of cartilage and bone allografts (especially irradiated cartilage homografts) shows a promising reconstructive option for nasal structural defects. For extensive facial defects, including midface deformities, impossible to restore with traditional surgical techniques, a new reconstructive era was open through the development of the VCA field.

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Section: Introductionmentioning

confidence: 99%