Abstract
To evaluate the epithelial "turn-in" flap for reconstruction of the internal lining in full-thickness nasal defects. Highlighted are its indications, technique, complications, and clinical success, particularly in comparison with the other common modalities for reconstructing this nasal lining. Also, to determine how the random flap withstands vigorous thinning. A retrospective chart review and clinical follow-up of all patients with full-thickness nasal defects of the nose. The patient pool comes from a tertiary care center that draws from a large geographic area in the Northwest. Both urban and rural demographics are represented. Fifty-six patients with large full-thickness nasal defects were reviewed, 18 of which were reconstructed with the epithelial turn-in flap. The causes of the original defect were varied. Full-thickness nasal defects were reconstructed in a layered fashion. The turn-in flaps were aggressively thinned to the subdermal plane to minimize flap bulk and airway compromise. Attention was made to the size and precise location of the defect, the mode of reconstruction, flap viability, and nasal function. Eighteen patients had turn-in flaps for reconstruction of the internal lining. Sixteen patients (89%) had 10...Continue Reading
Citations
Jul 22, 2008·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Nuria Blázquez SánchezMarta Frieyro Elicegui
Aug 1, 2015·Journal of Maxillofacial and Oral Surgery·Manikandhan RamanathanHermann F Sailer
Sep 4, 2007·Aesthetic Plastic Surgery·Murat Sahin AlagözErgin Yücel
Jun 22, 2010·HNO·S Park, A Berghaus
Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alexis B OlssonSanjay P Reddi
Nov 30, 2010·Facial Plastic Surgery Clinics of North America·Cody A KochOren Friedman
Nov 30, 2010·Facial Plastic Surgery Clinics of North America·Kenneth K K Oo, Stephen S Park
Nov 30, 2010·Facial Plastic Surgery Clinics of North America·Peter J F M LohuisAbel-Jan Tasman
Apr 28, 2009·Facial Plastic Surgery Clinics of North America·Steven B CannadyMark K Wax
May 6, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·M SinhaS B Watson
Sep 12, 2012·The Laryngoscope·Garrett R GriffinJeffrey S Moyer
Apr 9, 2005·Facial Plastic Surgery Clinics of North America·Travis T Tollefson, J David Kriet
Feb 5, 2003·The Laryngoscope·Tilman KeckOtto Sigg
Aug 15, 2000·The Laryngoscope·S S Park
Dec 9, 2003·The Laryngoscope·Eric J MooreLance A Manning
Jul 15, 2004·Current Opinion in Otolaryngology & Head and Neck Surgery·Jin Soon ChangStephen S Park
Jun 1, 2005·Plastic and Reconstructive Surgery·Robert L WaltonElisabeth K Beahm
Jul 8, 2010·Annals of Plastic Surgery·Jeffrey S Moyer
May 24, 2007·Archives of Facial Plastic Surgery·Frits Jan Bas van HemertMarinus Johannes Middelweerd
Aug 11, 2000·Archives of Facial Plastic Surgery·C S MurakamiA P Ierokomos
May 19, 2006·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·A J MamelakS J Miller
Mar 26, 2013·The Journal of Craniofacial Surgery·Muhammad Mustehsan BashirFarid Ahmad Khan
Mar 1, 2008·Clinical and Experimental Otorhinolaryngology·Stephen S Park
May 26, 2021·The Annals of Otology, Rhinology, and Laryngology·Christopher PoolJessyka G Lighthall