Correction of a nasal soft triangle deficiency as a complication of augmentation rhinoplasty

Kim, Eon Su; Heo, Jae Won; Yang, Chae Eun; Kim, Jiye; Kim, Sug Won

doi:10.7181/acfs.2021.00143

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Paramedian forehead flap and septal mucoperichondrial sometimes serve as a good option for reconstruction of alar defects; however, they are technique sensitive. 4 Para median forehead flap has been widely used in nasal defect reconstruction but the main disadvantage of this flap is that it results in donor site scar mainly in the Asian race. the case of transpositional NLF secondary procedures may be required to thin the flap and form the groove between the alar region and sidewalls.…”

Section: Discussionmentioning

confidence: 99%

Nasolabial Flap in Traumatic Nasal Alar Rim Defect

Rajpoot,

Singh,

Hirani

et al. 2022

The Traumaxilla

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Reconstruction of post traumatic facial soft tissue defect remains a challenge. The reconstruction of nasal substructures with the locoregional flap is been practiced since the times of Sushruta. But still the quest for ideal reconstructive option is in pipeline. We present a case of posttraumatic nasal alar defect with superiorly based interpolated nasolabial flap. The postoperative outcomes were very encouraging.

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Section: Discussionmentioning

confidence: 99%

Nasolabial Flap in Traumatic Nasal Alar Rim Defect

Rajpoot,

Singh,

Hirani

et al. 2022

The Traumaxilla

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show abstract

“…However, it requires skilled techniques and a steep learning curve, and it is difficult to accurately predict the symmetry and surgical outcomes. The median forehead flap is widely used to reconstruct defects in all nose subunits with a wide range of sizes [ 8 ]. However, the most substantial drawback of this flap is the donor site scar that forms in the central forehead area, especially in Asian populations [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

One-stage reconstruction of full-thickness alar defects with a folded nasolabial island flap

Lee

Ryu

Choi

et al. 2021

Arch Craniofac Surg

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Background: The reconstruction of large full-thickness alar defects requires complex surgical procedures that are usually performed in two stages, with concomitant disadvantages in terms of patient trauma, surgical risk, and cost. This study presents a functional folded nasolabial island flap (FNIF) that can be used to repair large-sized full-thickness alar defects in a straightforward manner.Methods: This retrospective study included seven patients who received a FNIF for a full-thickness alar defect between January 2007 and December 2020. The FNIF is different from the conventional nasolabial flap in that it is folded and twisted to achieve nostril reconstruction with a satisfactory three-dimensional mucosal lining in a single stage. The cosmetic and functional results of FNIF were evaluated by both patients and physicians.Results: The age ranged from 51 to 82 years (mean, 65.6 years). The causes of the defects were squamous cell carcinoma, basal cell carcinoma, and trigeminal trophic syndrome. The nostril lining did not collapse, there was no hypertrophic scarring, and air movement through the nostrils on the flap side was normal. Overall, FNIF produced excellent aesthetic and functional outcomes, with minimal patient discomfort. There were no postoperative complications.Conclusion: Compared with existing reconstruction methods for large full-thickness alar defects, FNIF can easily achieve aesthetic and functional success in a single-stage procedure. It provides satisfactory results for both the patient and the surgeon.

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“…Here, we performed PSS with minimal undermining (1–2 mm) on wounds around structures such as the eyelids, the eyebrows, and the nose, which are sensitive to distortion [ 28 , 29 ]. While distortions occurred immediately after the operation, they disappeared as the radiating fold improved, with restoration of the original shapes ( Fig.…”

Section: Discussionmentioning

confidence: 99%

Surgical refinement of the purse-string suture for skin and soft tissue defects of the head and neck

Park

Lee

Yeo

et al. 2021

Arch Craniofac Surg

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Background: The purse-string suture (PSS) is a simple and rapid wound closure method that results in minimal scarring. It has been used to treat circular or oval skin defects caused by tumor excision or trauma. However, due to obscurity, it is not widely used, especially for the head and neck. This study aimed to modify the PSS to obtain predictable and acceptable results.Methods: A total of 45 sites in 39 patients with various types of skin and soft tissue defects in the head and neck were treated with PSS. We used PDS II (2-0 to 5-0), which is an absorbable suture. Minimal dissection of the subcutaneous layer was performed. The suture knot was hidden by placing it in the dissection layer. Depending on the characteristics of the skin and soft tissue defects, additional surgical interventions such as side-to-side advancement sutures, double PSS, or split-thickness skin graft were applied.Results: All wounds healed completely without any serious complications. Large defects up to 45 mm in diameter were successfully reconstructed using only PSS. Postoperative radiating folds were almost flattened after approximately 1–2 months.Conclusion: PSS is simple, rapid, and relatively free from surgical design. Owing to the circumferential advancement of the surrounding tissue, PSS always results in a smaller scar than theinitial lesion and less distortion of the body structures around the wound in the completely healeddefect. If the operator can predict the process of healing and immediate radiating folds, PSS couldbe a favorable option for round skin defects in the head and neck.

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Correction of a nasal soft triangle deficiency as a complication of augmentation rhinoplasty

Cited by 4 publications

References 10 publications

Nasolabial Flap in Traumatic Nasal Alar Rim Defect

Nasolabial Flap in Traumatic Nasal Alar Rim Defect

One-stage reconstruction of full-thickness alar defects with a folded nasolabial island flap

Surgical refinement of the purse-string suture for skin and soft tissue defects of the head and neck

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