Reconstruction of the Nasal Defects by Nasolabial Flaps
نویسنده
چکیده
BACKGROUND: Nasal reconstruction remains one of the most challenging aspects of facial plastic surgery. Resurfacing of nasal defect should include a consideration of the principle of aesthetic subunits. Nasal defect can be reconstructed by local, regional, and distant flaps and the size and depth of the defects (partial or full thickness) are important for choosing the flap. Although nasolabial flap cannot cover a large defect but it can be used successfully for small to moderate size nasal defect with a good aesthetic and functional result. OBJECTIVE: The aim of this study is to show the reliability of the nasolabial flap either superiorly based or inferiorly based according to the site and size of the defect. PATIENT and METHOD: A total number of 40 patients (24 females and 16 males) were included in this study with nasal defect in Burn and Plastic Surgery of sulaimania and Private Clinics, all the cases were treated by nasolabial flap. The majority (36 cases) underwent procedure under local anesthesia, only in 4 cases the procedure carried out under general anesthesia. Superiorly based was performed in 35 cases while inferiorly based flap carried out in 5 cases. Majority of cases (36 cases) treated by one stage nasolabial flap, while in 4 cases second stage was performed for treating pin cushioning and debulking. RESULTS: All the cases were treated with nasolabial flap with a good functional and aesthetic outcome. No post operative complications like wound dehiscence, flap necrosis, bleeding, haematoma, and infection were recorded. CONCLUSION: Superiorly based nasolabial flap is more reliable and suitable than the inferiorly based flap in case of full thickness alar reconstruction, while inferiorly based is more acceptable in case of small and partial thickness nasal defect of the ala and nasal side wall with less chance of pin cushioning and edema formation. Superiorly based flap can cover a larger defect of the nasal side wall, dorsum, alar region, and columella if compared to inferiorly based flap.
منابع مشابه
Reconstruction of the nasal columella.
OBJECTIVE To report techniques successful for nasal columella reconstruction. METHODS Retrospective medical chart review of patients undergoing columella reconstruction by 2 of us (D.A.S. and P.A.H.) from January 1, 1982, to December 31, 2000. Photographs before tumor resection or trauma, after resection or trauma, and after reconstruction were examined by facial plastic surgeons masked to th...
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