A new flap combination for reconstruction of lower nasal dorsum and supra-tip skin defects

Guesnier, Melanie; Claveleau, Xavier; Longeac, Marielle; Barthelemy, Isabelle; Dang, Nathalie Pham; Depeyre, Arnaud

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자료유형: 학술저널

저자정보: Guesnier, Melanie (Department of Oral and Maxillofacial, Estaing Hospital, CHU Clermont-Ferrand) Claveleau, Xavier (Department of Oral and Maxillofacial, Estaing Hospital, CHU Clermont-Ferrand) Longeac, Marielle (Department of Oral and Maxillofacial, Estaing Hospital, CHU Clermont-Ferrand) Barthelemy, Isabelle (Department of Oral and Maxillofacial, Estaing Hospital, CHU Clermont-Ferrand) Dang, Nathalie Pham (Department of Oral and Maxillofacial, Estaing Hospital, CHU Clermont-Ferrand) Depeyre, Arnaud (Department of Oral and Maxillofacial, Estaing Hospital, CHU Clermont-Ferrand)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제46권 제5호

발행연도: 2019.1

수록면: 480 - 483 (4page)

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Repairing surgical defects of the nose is still challenging due to its tridimensional shape and its aesthetic concern. Difficulty in reconstructing nasal subunits lies in their contour, skin texture and limited availability of adjacent skin. For lower nasal dorsum and supra-tip regions, we design a new combined local flap as existing local flaps may give disappointing results. This combination flap was performed on two patients for reconstruction of the lower nasal dorsum area after basal cell carcinoma excision. Size of the excision ranged from 20 to 25 mm diameter and safe margins were obtained. The defects were reconstructed with a local flap that combined a rotation nasal flank flap and a V-Y advancement nasolabial flap. Excision and reconstruction were performed in a one-stage surgery under intravenous sedation and local anesthesia. There were no postoperative complications and no flap loss occurred. Aesthetic and functional results after 6 months postoperatively were satisfying without modification of nasal shape. This flap is reliable and offers interesting functional and aesthetic outcomes. It can be considered as a new reconstruction alternative for supra-tip and lower nasal dorsum skin defects performed in a one-stage procedure under local anesthesia.

#Nose defect #Supra-tip #Aesthetic subunit #Flap

참고문헌 (12)

참고문헌 신청

Rogers-Vizena CR / 2015 / Surgical treatment and reconstruction of nonmelanoma facial skin cancers / Plast Reconstr Surg 135:895e~908e

Burget GC / 1985 / The subunit principle in nasal reconstruction / Plast Reconstr Surg 76:239~247

Singh DJ / 2003 / Aesthetic considerations in nasal reconstruction and the role of modified nasal subunits / Plast Reconstr Surg 111:639~648

Chaput B / 2013 / Nose surgical anatomy in six aesthetic subunits / Ann Chir Plast Esthet 58:132~145

Eren E / 2014 / Beyond Rieger’s original indication;the dorsal nasal flap revisited / J Craniomaxillofac Surg 42:412~416

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