Reconstruction of large nasal defects with a combination of local flaps based on the aesthetic subunit principle

Plastic and Reconstructive Surgery
T YotsuyanagiY Sawada

Abstract

Herein is described a technique that uses a combination of local flaps to reconstruct large defects involving the nasal dorsum and cheek. The flaps used are a transposition flap elevated from the area adjoining the defect and bilateral cheek advancement flaps. This technique leaves all suture wounds at borders of the aesthetic subunits that have been described previously. Color and texture matches were good and symmetrical. The transposition flap can be modified according to whether the defect includes the nasal tip. After raising the cheek advancement flap, it is also possible to use a dog-ear on the nasolabial region for any alar defects. Nine patients were treated using this procedure. The technique is very reliable (no complications such as congestion and skin necrosis in our series) and is easy to perform. One patient had palpebral ectropion after the operation and underwent secondary repair. In this series, defects measuring 45 x 30 mm in maximum diameter and including the nasal dorsum, nasal tip, ala, and cheek were treated.

References

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Citations

May 30, 2013·Plastic and Reconstructive Surgery·Alejandro Maciel-MirandaGeoffrey G Hallock
Jun 21, 2005·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Ozlem Karataş SilistreliBetül Gözel Ulusal
Oct 14, 2017·Plastic Surgery·Yen-Chang HsiaoJonathan Zelken
May 22, 2018·Annals of Plastic Surgery·Rajshree Jayarajan
Jan 2, 2007·Annals of Plastic Surgery·Cuneyt OzekUfuk Bilkay
Jun 10, 2009·The Journal of Craniofacial Surgery·Othon PapadopoulosMargarita Moustaki
Apr 22, 2009·The Journal of Craniofacial Surgery·Zhang YingQi Zuoliang
May 7, 2020·Advances in Skin & Wound Care·Xiaoli LouHongda Bi
Mar 12, 2009·The Journal of Craniofacial Surgery·Ying ZhangZuoliang Qi
Aug 19, 2016·Plastic and Reconstructive Surgery·Oliver Scheufler
Sep 13, 2013·Annals of Plastic Surgery·Matthieu Beustes-StefanelliPierre Schertenleib
May 12, 2021·International Journal of Surgery Case Reports·Julian Ramin Andresen, Oliver Scheufler
Apr 15, 2003·The Surgical Clinics of North America·John A van AalstJeffrey Wagner
Oct 19, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Mehmet Bayramiçli
Mar 10, 2009·Auris, Nasus, Larynx·Hong-Ryul Jin, Woo-Jin Jeong

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