Reconstruction of the nose after cocaine abuse

Wehrens, Kim M. E.; Hawinkels, Harm; Fresow, Roel N. G. M.; Hulst, René R W J van der; Boeckx, W.

doi:10.1016/j.bjps.2007.10.021

Cited by 7 publications

(11 citation statements)

References 8 publications

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“…The primary search identified 305 unique articles, of which 257 were excluded after title and abstract review (Figure ). After 48 full‐text articles were reviewed by two independent reviewers (MR and GK), a total of 22 articles fulfilled the inclusion criteria (Acikel, Bayram, Eren, & Celikoz, ; Beahm, Walton, & Burget, ; Burget & Walton, ; Choi, Joo, Jeong, & Jang, ; Cinpolat, Bektas, & Coskunfirat, ; Fujioka, Hayashida, Murakami, & Koga, ; Gaggl, Burger, & Chiari, ; Hirase, Kojima, Takeishi, Hayashi, & Shinoda, ; Hsiao et al, ; Karadsheh, Turfe, & Komorowska‐Timek, ; Livaoglu, Karacal, Bektas, & Bahadir, ; Menick & Salibian, ; Moore, Montgomery, McMahon, & Sheikh, ; Moore, Strome, Kasperbauer, Sherris, & Manning, ; Nisanci, Turegun, Er, & Sengezer, ; Senda et al, ; Seth, Revenaugh, Scharpf, Shipchandler, & Fritz, ; Swartz, ; Upton, Ferraro, Healy, Khouri, & Merrell, ; Wehrens, Hawinkels, Fresow, Van der Hulst, & Boeckx, ; Winslow, Cook, Burke, & Wax, ; Zhou, He, Liao, & Yao, ). Study design consisted of 13 case reports and 9 case series (Table ).…”

Section: Resultsmentioning

confidence: 99%

Microvascular lining options for subtotal and total nasal reconstruction: A scoping review

et al. 2019

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Background: Restoration of nasal lining is essential in reconstruction of subtotal/total nasal defects. When local flaps are inadequate, a microvascular flap should be used. The purpose of this scoping review is to map the literature and identify the described flap options for subtotal/total nasal reconstruction. Further to that, we will summarize the stated advantages and disadvantages, evaluate functional and esthetic outcomes, and appraise the current body of literature. Methods: An electronic literature search was completed. Studies required adult patients with subtotal/total nasal defects and lining reconstruction with microvascular free flap. Two independent reviewers completed screening and data extraction. Flap characteristics, advantages, disadvantages, functional and esthetic outcomes were reviewed. Two independent reviewers evaluated study quality. Results: Of 305 initial articles, 22 studies were included (13 case reports, 9 case series) accounting for 65 flaps. Microvascular flaps varied by composition and anatomical location. For functional outcome, 13 studies used clinical exam by surgeon, 5 reported patient being satisfied, 3 studies used endoscopy, and 1 study used nasometry. Assessing esthetic outcome, 13 studies used clinical exam by surgeon, 5 studies reported patient being satisfied, 1 study used patientreported outcome measures, and 16 studies included photos. Study quality (modified CARE and PROCESS checklists) was deemed poor. Quality of available evidence was level IV.Conclusions: Microvascular free flaps for nasal reconstruction, confer an overall satisfactory functional and esthetic outcome. All studies lack a systematic and comprehensive approach to assessing and reporting these outcomes. Future research should provide objective assessment and utilize patient reported outcome measures.

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Section: Resultsmentioning

confidence: 99%

Microvascular lining options for subtotal and total nasal reconstruction: A scoping review

et al. 2019

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“…Jung et al [7] reported 20 cases of subnasale flap for columella reconstruction. For most severe cases, a free radial forearm flap can be used to reconstruct the inner nasal lining, [8] and a free rectus abdominis flap has been proposed for destructive midfacial lesions. [9] Cartilage and bone grafts may be necessary to reconstruct nasal scaffold.…”

Section: Discussionmentioning

confidence: 99%

Columella reconstruction with an inferiorly-based philtral advancement flap in a cocaine abuser

Santo

Trimarchi

Galli

et al. 2017

Indian J Plast Surg

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Nasal columella defects can significantly impair aesthetic appearance. Columella reconstruction can be very challenging for surgeons, especially if due to cocaine abuse. The case of a 32-year-old male patient with subtotal columellar necrosis secondary to cocaine abuse is presented. An inferiorly based philtral advancement flap was performed to cover the defect. Aesthetic outcome was the primary goal of surgery. Reconstruction led to good aesthetic and functional results.

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“…Complete or near total loss of the nasal septum ( Figures 1b, 2c, 2d, 3b and 3d) was described in 23 cases (7,13,15,17,(20)(21)(22)(23)25,(28)(29)(30)(31)34,37,39,41,45,47,48,64,66,67) and 13 of these patients also presented nasal deformity (Figure 2a), saddle nose or loss of nasal projection (7,13,15,17,28,30,39,41,47,48,58,63,67) .…”

Section: Clinical Presentationmentioning

confidence: 98%

“…Continued abstinence, in fact, is an absolute requirement that patients must fulfil to consider surgical reconstruction (6) . If the patient reliably quits sniffing, medical therapy, reconstructive surgery ( Figure 2b, 5c and 5d) and prosthetics ( Figure 3c, 3d and 5b) can achieve satisfactory results (31,35,41,46,58,63,66,67,76,78,81) ; otherwise, surgical intervention is destined to failure (23,29,52,75,97) .…”

Section: Therapymentioning

confidence: 99%