Nasal ala reconstruction: Surgical conundrum

Ortins-Pina, Ana; Teixeira, Ana I.; Sanches, Maria; Gouveia, Ana Isabel; Filipe, Paulo; Silva, João Maia

doi:10.4103/jcas.jcas_130_16

Cited by 7 publications

(3 citation statements)

References 14 publications

(13 reference statements)

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“…There is extensive literature regarding the reconstructive options and their outcomes for the external nasal skin, ranging from skin grafts to locoregional flaps; 3 11 however, defects at the nasal ala are unique in their impact on aesthetic outcome and nasal function. They require different surgical approaches than other nasal subunits.…”

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confidence: 99%

Comprehensive Algorithm for Nasal Ala Reconstruction: Utility of the Auricular Composite Graft

Chen

Patel

Chi

2018

Surg J

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Defects of the nasal ala are challenging to reconstruct, given its complex three-dimensional structure. Successful repair of these defects needs to provide aesthetic symmetry and preserve nasal function. A wide variety of reconstructive options have been described for nasal ala defects, ranging from skin grafts to locoregional flaps, and also includes the auricular composite graft. However, there are currently no comprehensive guidelines for nasal ala repair, and the versatile role of the auricular composite graft has not been well defined. In this review, we aim to provide a comprehensive algorithm to guide repair of nasal ala defects. Additionally, we compare our experience using the auricular composite graft with the available literature to better define its utility in nasal ala repair.

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confidence: 99%

Comprehensive Algorithm for Nasal Ala Reconstruction: Utility of the Auricular Composite Graft

Chen

Patel

Chi

2018

Surg J

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“…Nose defects can be repaired using reconstructive procedures ranging from skin grafts, locoregional flaps, and composite grafts for improving aesthetics and preserving the nose function. 19,20 Various implant materials can be used for the rhinoplasty and ear reconstruction. 21…”

Section: Case Notementioning

confidence: 99%

Oral and Craniofacial Anomalies of Fraser Syndrome: Prosthetic Management

Amornvit

Rokaya

Sapkota

et al. 2022

Kathmandu Univ. Med. J.

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Fraser syndrome (FS, MIM 219000) is a rare autosomal disorder characterized by systemic and oro-facial malformation, usually comprising cryptophthalmos, laryngeal malformations, syndactyly, and urogenital defects. We presented a 21-year-old FS case with partial missing teeth seeking aesthetic dental treatment. Clinical examination revealed bilateral cryptophthalmos, extensive syndactyly of hands and feet broad nose with the depressed nasal bridge, and surgically corrected bilateral cleft lip. She presented class III jaw relation and reduced the vertical height of the face. Prosthetic rehabilitation of the patient was done with upper and lower overlay dentures made from acrylic resin (VIPI BLOCK TRILUX®, VIPI Industria, Pirassununga, SP, Brazil) using computer-aided design (CAD) and computer-aided manufacturing (CAM) process. At the follow-up visit, the patient presented improved aesthetics and function. Proper management and rehabilitation of FS patients are challenging, but standard guidelines for oral health management are currently lacking. This article presents a case of Fraser syndrome presenting oral and craniofacial anomalies, and prosthetic rehabilitation was done. We also provided recommendations for the optimal oral health care for the FS patients. Functional adaptation and rehabilitation have significant roles in the various functions, survival, and quality of the life of FS patients. Integrated medical-dental care is needed in such patients with support from family members, friends, and colleagues.

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“…The reconstruction method of a skin defect in the nasal ala should be chosen depending on the location and size of the lesion for best results. A rotation flap, nasofacial interpolation flap and banner transposition flap are used for medium to large sized defects of the nasal ala 2 . Although these flaps can cause asymmetry of the nasal ala or blunting of nasofacial sulcus, a logarithmic spiral flap achieves better functional and cosmetic results in reconstruction of nasal alar defect 3 .…”

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confidence: 99%