Repair of Nasal Tip and Alar Defects Using Cheek-Based 2-Stage Flaps

Improving the Design and Execution of Interpolation Flaps

“…Smith reported a 6 (21 %) wound infections in a study of 28 patients undergoing CNIF. These patients received 1 g of cephalexin at the time of surgery, followed by 500 mg 6 hours later [20]. That is much higher than what we have experienced.…”

“…Far smaller defects, the PNF offers functional and esthetic advantages over some of the previously discussed procedures. As in CNIF, the melolabial fold is maintained [20]. In addition, the donor site's similarity to the defect area creates a favorable match in texture color and contour.…”

Reconstruction of the nose with a new double flap technique: microvascular osteocutaneous femur and microvascular chondrocutaneous ear flap—first clinical results

“…The best surgical technique is chosen according to the defect type, extending to nasal subunits 6-8 and neighbouring tissue defects as required. [8][9][10][11][12][13][14][15][16] The main techniques include local pedicled, or microvascular reanastomosed flaps, and free tissue grafts. 9 The major problem in surgical treatment lies in the complex anatomy of the nose.…”

“…Conventional local pedicled flaps from the frontal or cheek region sometimes need to be prelaminated by cartilage and/or mucosa transplantation before covering the defect. 14,15,17 Otherwise a transplantation of free grafts together with flap transposition is necessary to achieve stability in the reconstructed region. 9 In some patients with extended compound defects, microvascular reanastomosed flaps from a distant donor site are sometimes preferred.…”

“…Clinical follow-up was performed 2 weeks, 6 weeks, 3,6,9,12,15,18,21,24 and 36 months postoperatively. Alongside an examination for tumour relapse, the patients were checked for the functional and aesthetic outcome.…”