Lower Third Nasal Reconstruction: When Is Skin Grafting an Appropriate Option?

McCluskey, Paul D.; Constantine, Fadi C.; Thornton, James F.

doi:10.1097/prs.0b013e3181b03749

Cited by 58 publications

(31 citation statements)

References 11 publications

(9 reference statements)

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“…Similarly, in a retrospective analysis of 55 cases of full-thickness skin grafts for lower-third nasal defects, an excellent outcome with good contour and colour match was noted. 23 The authors of this study offered dermabrasion to all patients beginning at 6 weeks after grafting and recommended the use of full-thickness skin grafts for defects < 1 cm. 23 We routinely advise patients that dermabrasion (manual/machine) may be needed, but in only 36% was this procedure performed.…”

Section: Discussionmentioning

confidence: 99%

Full-thickness skin grafts for surgical defects of the nasal ala - a comprehensive review, approach and outcomes of 186 cases over 9 years

Tan¹,

Mortimer²,

Salmon³

2014

Br J Dermatol

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SummaryBackground Skin cancers of the nasal ala are commonly encountered in dermatological surgery. Various techniques have been described to reconstruct surgical defects of the ala, including melolabial transposition flaps, interpolated melolabial flaps, bilobed and trilobed transposition flaps, island pedicle flaps and spiral flaps. Full-thickness skin grafts have received little attention in the reconstructive literature.Objectives We present our experience with full-thickness skin grafts for the reconstruction of partial thickness defects of the nasal ala in the largest series to date. Methods A retrospective analysis of the Mohs micrographic surgery database over a 9-year period was performed. All cases of full-thickness skin grafts for reconstruction of the nasal ala were identified. Defect location, size and any postoperative complications were noted. All patients were reviewed at the time of suture removal, at 3 and 6 weeks postoperatively and at 1 year. Results There were 186 cases in total in 181 patients (88 men and 93 women). Their ages ranged from 31 to 88 years with a mean of 65 years (median 66). Defect size varied from 0Á3 9 0Á4 cm to 2Á0 9 2Á7 cm, with the average defect size measuring 1Á0-1Á2 cm in diameter. Thirty-six per cent (67 of 186) of cases underwent postoperative dermabrasion, and 8% (14 of 186) received postoperative intralesional triamcinolone. The incidence of graft failure and infection was low. Good-to-excellent cosmetic results were seen in all patients and postoperative complications were uncommon and minor. Conclusions The use of full-thickness skin grafts for defects of the nasal ala is a simple and versatile reconstructive option with excellent functional and aesthetic outcomes.

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Section: Discussionmentioning

confidence: 99%

Full-thickness skin grafts for surgical defects of the nasal ala - a comprehensive review, approach and outcomes of 186 cases over 9 years

Tan¹,

Mortimer²,

Salmon³

2014

Br J Dermatol

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“…11,12 The choice of donor site must take into account the native tissue quality of the defect site to provide the best cosmetic match. Full-thickness skin grafts provide good cutaneous coverage for alar defects of various sizes.…”

Section: Discussionmentioning

confidence: 99%

Second-Intention Healing of Nasal Alar Defects

Neuhaus

2012

Dermatologic Surgery

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“…The basic concern with using a skin graft is the resultant patchwork appearance caused by color mismatch and contour defects. Nevertheless, superficial defects larger than 1 cm will be treated with full-thickness skin graft successfully [24]. …”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Nasal Skin Cancer Defects with Local Flaps

Salgarelli

Bellini

Multinu

et al. 2011

Journal of Skin Cancer

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Reconstruction of nasal defects must preserve the integrity of complex facial functions and expressions, as well as facial symmetry and a pleasing aesthetic outcome. The reconstructive modality of choice will depend largely on the location, size, and depth of the surgical defect. Individualized therapy is the best course, and numerous flaps have been designed to provide coverage of a variety of nasal-specific defects. We describe our experience in the aesthetic reconstruction of nasal skin defects following oncological surgery. The use of different local flaps for nasal skin cancer defects is reported in 286 patients. Complications in this series were one partial flap dehiscence that healed by secondary intention, two forehead flaps, and one bilobed flap with minimal rim necrosis that resulted in an irregular scar requiring revision. Aesthetic results were deemed satisfactory by all patients and the operating surgeons. The color and texture matches were aesthetically good, and the nasal contour was distinct in all patients. All scars were inconspicuous and symmetrical. No patient had tenting or a flat nose.

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Lower Third Nasal Reconstruction: When Is Skin Grafting an Appropriate Option?

Cited by 58 publications

References 11 publications

Full-thickness skin grafts for surgical defects of the nasal ala - a comprehensive review, approach and outcomes of 186 cases over 9 years

Full-thickness skin grafts for surgical defects of the nasal ala - a comprehensive review, approach and outcomes of 186 cases over 9 years

Second-Intention Healing of Nasal Alar Defects

Reconstruction of Nasal Skin Cancer Defects with Local Flaps

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