The east–west advancement flap (horizontal advancement flap) to repair a defect on the nose ala

Ascari-Raccagni, Antonio; Dondas, Adina; Righini, MG; Trevisan, Giusto

doi:10.1111/j.1468-3083.2009.03552.x

Cited by 4 publications

(1 citation statement)

References 9 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The high tension and small surface area of skin of the nasal dorsum make it more difficult to use a dorsal flap for alar repair in Asian patients (13). Moreover, a horizontal advancement flap is less preferable for the repair of large defects, as it has a higher chance of distorting the nasal contour and alar rim (14). Because the previous trauma could destroy the blood vessels around the alar, the repair method which needs vascular anastomosis was not considered as the first choice of treatment in this group of patients.…”

Section: Discussionmentioning

confidence: 99%

Repair of severe traumatic nasal alar defects with combined pedicled flap and conchal cartilage composite grafts: a retrospective study

et al. 2020

View full text Add to dashboard Cite

Background: Repair of traumatic alar defect is challenging because poor blood supply is caused by contracture scars, which sometimes extend beyond the alar groove. However, few studies have investigated the reconstruction results of severe traumatic cases. This study aimed to examine the clinical outcomes of severe traumatic alar defect reconstruction using either pedicled nasolabial or forehead flaps combined with conchal cartilage.Methods: This retrospective study investigated the clinical characteristics and treatment effects of 17 patients with severe traumatic alar defects treated in a single plastic surgery center from March 1, 2015, to September 1, 2018. All cases were scored and graded with regard to the size and depth of the alar defect and the surrounding scar according to the Alar Defect Severity Score (ADSS). Surgical outcomes were evaluated on the basis of the severity of defect before repair, donor site distortion, and postoperative nasal symmetry, especially shape and color. Results:The average ADSS of the cases was 8.1±0.8 (highest score, 9.0). No flap necrosis or any complications were observed postoperatively. The symmetry of the bilateral alae was satisfactory. No color distinction between grafts and surrounding tissues, retraction, or inferior displacement of the ala was observed at an average follow-up of 24.2±10.4 months (range, 8-42 months). The average postoperative surgeon-based evaluation score was 4.3±0.2 (highest score, 5.0). Esthetic and functional results were satisfactory in all cases.Conclusions: A pedicled flap combined with conchal composite grafts should be considered for the treatment of severe traumatic alar defect. This is a reproducible technique that enables a predictably decent outcome for severe traumatic alar defect, especially in Asian patients.

show abstract

Section: Discussionmentioning

confidence: 99%