A Combination Flap for Nasal Defect Reconstruction

Annals of Plastic Surgery
Rajshree Jayarajan

Abstract

Nasal reconstruction is a common plastic surgery procedure following cancer resection. Whereas most small and medium defects are managed using standard local flaps, reconstructive options available for large defects of the nose such as a heminasal defect are very few. Most of the large defects are usually managed using a forehead flap, which involves at least 2 stages or using free tissue transfer. The author describes a combination flap that can be used for reconstruction of heminasal defects as well as lateral wall defects. A cheek advancement flap with the nasolabial flap incorporated in it as a combined flap was used for reconstructing heminasal defects and lateral wall defects in 11 patients. Four of the cases were following Mohs surgery for skin cancer, and others, primary reconstruction following wide excision of skin cancer. Five of the cases required cartilage support with or without lining, and others were skin-only defects. All were done as single-stage procedures. The cases were followed up over a period ranging from 6 to 18 months. There were no immediate complications in any of the cases, and all flaps survived completely. Assessment was done in terms of function, appearance, requirement for further procedures, an...Continue Reading

References

Sep 1, 1992·Journal of Reconstructive Microsurgery·Y Itoh, K Arai
Aug 1, 1985·Plastic and Reconstructive Surgery·G C Burget, F J Menick
Nov 17, 2001·Archives of Facial Plastic Surgery·M S Zimbler
Mar 14, 2003·Archives of Facial Plastic Surgery·Catherine P WinslowMark K Wax
May 6, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·M SinhaS B Watson
Sep 21, 2011·Archives of Facial Plastic Surgery·Thorsen W Haugen, John L Frodel
Jun 22, 2013·Annals of Plastic Surgery·Manish C ChampaneriaSubhas C Gupta
Nov 29, 2013·Archives of Plastic Surgery·Tommaso AgostiniGiuseppe Spinelli
Sep 6, 2017·The Journal of Craniofacial Surgery·Sangjun Yim, Seok-Chan Eun

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Citations

Mar 29, 2020·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Saiqa I Khan, Alan A Lim

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