Total Nasal Reconstruction with a Nonlaminated Vascularized Free Temporal Fascia as the Lining

Plastic and Reconstructive Surgery. Global Open
Shinsuke AkitaNobuyuki Mitsukawa

Abstract

Various methods to generate the lining for a full-thickness nasal reconstruction have been reported. We used bilateral septal mucoperichondrial flaps, the distal portion of an expanded median forehead flap, and a nonlaminated vascularized free temporal fascia flap as a lining during total nasal reconstruction of a total full-thickness nasal defect in a 45-year-old woman with a nasal squamous cell carcinoma. In the first step of the two-stage surgery, a tissue expander was inserted into the forehead simultaneously with tumor resection. In the second step, the expanded median forehead flap, cartilage graft, bilateral septal mucoperichondrial flaps, and short pedicle vascularized free temporal fascia transfer were performed. Total nasal reconstruction could be completed without any skin graft or skin paddle of the free flap. Epithelialization of the mucosa on the transferred vascularized free temporal fascia without contracture deformity of the nasal cavity was confirmed by endoscopic examination after 8 years of follow-up. In the surgical procedure described, the facial skin, including the lining of the nostril rim, and the mucous membrane of the nasal cavity were reconstructed using facial skin and mucous membrane without long-t...Continue Reading

References

Aug 1, 1985·Plastic and Reconstructive Surgery·B BrentV R Hentz
Dec 1, 1994·Annals of Plastic Surgery·Y HiraséA Shinoda
Mar 26, 2010·Plastic and Reconstructive Surgery·Frederick J Menick
Jun 17, 2015·The Journal of Craniofacial Surgery·James B Collins, Marcin Czerwinski
Sep 28, 2017·Plastic and Reconstructive Surgery·Phaethon KaragiannisSydney Ch'ng
Apr 17, 2018·Plastic and Reconstructive Surgery·Beniamino BrunettiPaolo Persichetti
Jun 29, 2018·Plastic and Reconstructive Surgery·Beniamino BrunettiPaolo Persichetti

❮ Previous
Next ❯

Citations

Apr 15, 2021·Facial Plastic Surgery : FPS·Krystyne Basa, Waleed H Ezzat

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.