Principles of Nasal Reconstruction

Spataro, Emily A.; Branham, Gregory H.

doi:10.1055/s-0036-1597949

Cited by 23 publications

(13 citation statements)

References 34 publications

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“…Surgical techniques have also evolved and various methods are currently available as a result of the continuing search for a comprehensive surgical technique. Our current report is no exception [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 90%

Nasal reconstruction surgery after continuous positive airway pressure delivered by prongs: A case report

Windura

Josh

Soekamto

et al. 2021

Annals of Medicine and Surgery

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Introduction and importance Deformities resulting from nasal continuous positive airway pressure delivered using prongs can cause functional and aesthetic issues for patients. Resultant severe tissue damage to the nasal structures often requires surgical intervention and techniques continue to evolve. Case presentation This case report describes a 6-year-old male presenting with a full-thickness columella defect; contracture causing deformities involving the nasal tip, ala nasi, and left nasal cavity wall; missing left lateral-medial cruris cartilage; and partially missing right medial cruris cartilage. The abnormalities initially appeared when the patient was 7 days old after receiving treatment by nasal continuous positive airway pressure for 7 days. A one-stage procedure was performed as follows: left ala nasi reconstruction with skin excision followed by an ear cartilage graft; a nasal cartilage shield graft to form the nasal tip; reconstruction of the columella with a cartilage graft combined with bilateral soft tissue flaps taken from the nasal floor and mucosa vestibulum; and a full-thickness skin graft to cover the secondary defect resulting from the flaps. At 1-month post-surgery, satisfactory results were reported. Clinical discussion and conclusion Our approach combining two flaps taken from the nasal floor and the inner layer of the ala nasi, a cartilage graft from the ear, and a full-thickness skin graft delivered a one-stage surgical technique that yielded satisfactory results without deformities of the donor site. However, the surgical technique should be individualized to patients. This case report adds to the literature and offers surgeons an alternative approach for managing nasal deformities.

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Section: Discussionmentioning

confidence: 90%

Nasal reconstruction surgery after continuous positive airway pressure delivered by prongs: A case report

Windura

Josh

Soekamto

et al. 2021

Annals of Medicine and Surgery

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show abstract

“…It was as well treasured by our Chinese counterparts because the costal cartilage was satisfying in both quantity and quality, particularly when a large cartilaginous defect occurred 7,47 . The intrinsic curve and suppleness of conchal cartilage make it the first choice to design alar batten grafts or replace lateral cartilage, while the prominent stiffness and abundance of costal cartilage are ideal to play the role as a central support element or dorsal onlay graft [48][49][50] . Sannier et al 51 also preferred to use ipsilateral conchal bowl cartilage and suggested the exploitation of costochondral cartilage when cartilage was in great demand.…”

Section: Discussionmentioning

confidence: 99%

Expanded forehead flap in Asian nasal reconstruction

Wei

Wang

et al. 2023

Sci Rep

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This article reviewed our experience of Chinese nasal reconstruction over 12 years and evaluated the effect of expanded forehead flap both aesthetically and functionally. The special skin type and other anatomic features of Chinese patients was understood thoroughly during the treatment. This article thus catered for the need of multiracial nasal reconstruction. We analyzed existing clinical data and demonstrated a typical case in detail. The postoperative result supported our strategy which advocated the extensive application of expanded forehead flap, together with flip scar flap as the internal lining. The features of Chinese patients also prompted the use of costal and auricular cartilage. Emerging technology like 3D-printing would benefit nasal reconstruction from more aspects.

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“…The difficulty in reconstructing nasal subunits lies in their contour, skin texture, and the limited availability of adjacent skin. Using a skin graft often results in an aesthetically poor result, with problems including differences in skin texture and a depression scar [6]. The use of dorsal nasal flaps for nasal dorsum or supra-tip reconstruction is not innovative.…”

Section: Discussionmentioning

confidence: 99%

A new flap combination for reconstruction of lower nasal dorsum and supra-tip skin defects

Guesnier¹,

Claveleau²,

Longeac³

et al. 2019

Arch Plast Surg

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Repairing surgical defects of the nose is still challenging due to its tridimensional shape and its aesthetic concern. Difficulty in reconstructing nasal subunits lies in their contour, skin texture and limited availability of adjacent skin. For lower nasal dorsum and supra-tip regions, we design a new combined local flap as existing local flaps may give disappointing results. This combination flap was performed on two patients for reconstruction of the lower nasal dorsum area after basal cell carcinoma excision. Size of the excision ranged from 20 to 25 mm diameter and safe margins were obtained. The defects were reconstructed with a local flap that combined a rotation nasal flank flap and a V-Y advancement nasolabial flap. Excision and reconstruction were performed in a one-stage surgery under intravenous sedation and local anesthesia. There were no postoperative complications and no flap loss occurred. Aesthetic and functional results after 6 months postoperatively were satisfying without modification of nasal shape. This flap is reliable and offers interesting functional and aesthetic outcomes. It can be considered as a new reconstruction alternative for supra-tip and lower nasal dorsum skin defects performed in a one-stage procedure under local anesthesia.

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Principles of Nasal Reconstruction

Cited by 23 publications

References 34 publications

Nasal reconstruction surgery after continuous positive airway pressure delivered by prongs: A case report

Nasal reconstruction surgery after continuous positive airway pressure delivered by prongs: A case report

Expanded forehead flap in Asian nasal reconstruction

A new flap combination for reconstruction of lower nasal dorsum and supra-tip skin defects

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