Repair of Full-Thickness Nasal Alar Defects Using Nasolabial Perforator Flaps

Durğun, Mustafa; Ozakpinar, Hulda Rifat; Selçuk, Caferi Tayyar; Sarı, Elif; Seven, Ergin; Inozu, Emre

doi:10.1097/sap.0000000000000398

Cited by 17 publications

(17 citation statements)

References 16 publications

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“…Table 4 summarizes the clinical experiences of the facial artery published to date. [3][4][5][6][7][9][10][11][12][13][14][15][16][17][18][19][20] When we assessed the nomenclature used and the design purposed in several of these clinical series, we determined that several of the cases did not involve true propeller perforator flaps; for example: if the angular artery is the vascular axis, that is an axial flap 11 or a peninsular flap (advancement or v-y flap), and even if you isolate several cutaneous perforators, the vascularization of the flap is also based on the subfascial or subsmach plexus. 12 A propeller flap pedicle, by definition, should be based on one perforator…”

Section: Discussionmentioning

confidence: 99%

Nasolabial propeller perforator flap: Anatomical study and case series

Posso

Anaya

Henao

et al. 2018

Journal of Surgical Oncology

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Section: Discussionmentioning

confidence: 99%

Nasolabial propeller perforator flap: Anatomical study and case series

Posso

Anaya

Henao

et al. 2018

Journal of Surgical Oncology

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“…24 Finally, to increase both reach and arc of rotation, nasolabial flaps can be harvested as perforator island flaps using intraoperative Doppler guidance to sculpt a thin and mobile subcutaneous pedicle. 25 The main disadvantage of this flap is the lack of an axial vessel. The vascular supply is random and survival depends on the subepidermal and subdermal plexi.…”

Section: Nasolabialmentioning

confidence: 99%

Reconstruction of the Intranasal Lining

Zenga

John

2017

Facial plast Surg

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Reconstruction of full-thickness nasal defects has been the subject of surgical inquiry and innovation for over 2,000 years. The replacement of the internal nasal lining is a critical feature of complex nasal reconstruction. Successful reconstruction can prevent cicatricial contraction, external distortion, and internal stenosis. An array of reconstructive possibilities has been described, including cutaneous, mucosal, and fascial options. The challenge to the reconstructive surgeon is to select the repair that maximizes internal stability, while maintaining a patent nasal airway, minimizing morbidity, and meeting patient expectations. This article reviews the options available for the reconstruction of the intranasal lining.

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“…8,9 However, nasolabial flap is one of the oldest classic methods specifically used in nasal alar reconstruction. 10…”

Section: Introductionmentioning

confidence: 99%

“…Those mainly being visible donor site scarring, multiple staged procedure, and some suboptimal results depending on nasal region. 10…”

Section: Introductionmentioning

confidence: 99%

Outcome Study after Nasal Alar/Peri-alar Subunit Reconstruction: Comparing Paramedian Forehead Flap to Nasolabial Flap

Genova

Gardner

Oliver

et al. 2019

Plastic and Reconstructive Surgery - Global Open

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Objective: Contours of the lower nasal third are unique and present challenges in surgical reconstruction. The nasal alar intricate curved anatomy makes the area easily compromised after Mohs surgery. Managing patient and surgeon expectations with regard to aesthetics and functionality remains the reconstructive goal. The purpose of the study was to compare patients’ perspective on aesthetics and functional outcomes of nasal alar reconstruction post Mohs ablative surgery using nasolabial or forehead flaps. Methods: A single surgeon’s results of 23 patients, who underwent nasal alar reconstruction post Mohs surgery, were included for analysis (15 forehead and 8 nasolabial flaps). Initially, 103 consecutive patients undergoing nasal reconstruction were reviewed, with 67 excluded due to nonalar subunit involvement and an additional 13 excluded for other discussed reasons. Mean follow-up period was 2.3 years. Evaluation of a patient satisfaction questionnaire assessed aesthetics and functionality and also surgical scar noticeability. Additionally, 3 board-certified plastic surgeons assessed postoperative images. Results: Twenty-three patients completed the survey. There was no statistically significant difference in gender ratio, follow-up time, or scar noticeability among groups. A difference was noted in both aesthetics and functionality score ( P < 0.03) for both variables favoring forehead flaps. Results from the surgeon’s questionnaire also confirmed the superiority of forehead flaps concerning scar, alar contour/symmetry, and nostril opening symmetry. Conclusions: The forehead flap has a better functional and aesthetic outcome and an overall superior level of satisfaction post Mohs ablative surgery.

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Repair of Full-Thickness Nasal Alar Defects Using Nasolabial Perforator Flaps

Cited by 17 publications

References 16 publications

Nasolabial propeller perforator flap: Anatomical study and case series

Nasolabial propeller perforator flap: Anatomical study and case series

Reconstruction of the Intranasal Lining

Outcome Study after Nasal Alar/Peri-alar Subunit Reconstruction: Comparing Paramedian Forehead Flap to Nasolabial Flap

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