Key issues in nasal reconstruction

Asaria, Jamil; Pepper, Jon Paul; Baker, Shan R.

doi:10.1097/moo.0b013e32833af8f8

Cited by 11 publications

(3 citation statements)

References 42 publications

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“…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 ]. Unlike Caucasians, the nose of Asians generally has a flat, wide base of the bony pyramid, less muscle volume, and a flatter glabella [ 10 ].…”

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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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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“…These areas include shallow, concave areas, such as the medial canthal area, or alar-facial sulcus, and areas with a firm base, which prevent wound contracture and distortion of surrounding tissue such as the forehead or upper nasal sidewall. 10,12,24,25 In one study of 95 patients who were healed by secondary intention, excellent results were found in small, superficial defects on concave surfaces. 26 To obtain optimal results, the wound must be kept clean and moist with petroleum or antibiotic ointment.…”

Section: Secondary Intentionmentioning

confidence: 99%

Principles of Nasal Reconstruction

Spataro

Branham

2017

Facial plast Surg

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The rise in cutaneous malignancies over the past 20 years has led to significant advances in reconstructing the nose from an aesthetic and functional standpoint. The principles of nasal reconstruction center on application of the nasal subunit principle, three-layered reconstruction, nasal skin characteristics, and patient factors. Reconstructive planning starts with proper defect analysis, followed by application of the reconstructive ladder for soft-tissue repair, adequate structural support, and repair of nasal lining deficits. Optimal reconstructive methods depend on the location and size of the defect. Finally, refinement of the reconstruction is achieved through dermabrasion, scar revision, and flap thinning techniques.

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“… 3 , 5 However, the nose represents a complex anatomical region, in which small functional alterations can cause great harm to the patient. 6 Thus, the study of rhinoplasty techniques associated with those of septoplasty has gained prominence in referral otolaryngology services, which are regarded as professional generation centers, with the greatest responsibility for the training of these professionals. 2 , 4 …”

Section: Introductionmentioning

confidence: 99%

Classification of rhinoplasties performed in an otorhinolaryngology referral center in Brazil

Nunes

Crosara

Oliveira

et al. 2014

Brazilian Journal of Otorhinolaryngology

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Key issues in nasal reconstruction

Abstract: A large variety of sophisticated techniques continue to emerge with the goal of producing increasingly natural results for patients undergoing nasal reconstruction.

Cited by 11 publications

References 42 publications

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

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

Principles of Nasal Reconstruction

Classification of rhinoplasties performed in an otorhinolaryngology referral center in Brazil

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