Lateral Nasal Artery Perforator Flaps: Anatomic Study and Clinical Applications

Lombardo, Giuseppe AG; Tamburino, Serena; Tracia, Luciano; Tarico, Maria Stella; Perrotta, Rosario Emanuele

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자료유형: 학술저널

저자정보: Lombardo, Giuseppe AG (Department of Plastic and Reconstructive Surgery, Cannizzaro Hospital) Tamburino, Serena (Department of Plastic and Reconstructive Surgery, Cannizzaro Hospital) Tracia, Luciano (Department of Plastic and Reconstructive Surgery, Cannizzaro Hospital) Tarico, Maria Stella (Department of Plastic and Reconstructive Surgery, Cannizzaro Hospital) Perrotta, Rosario Emanuele (Department of Plastic and Reconstructive Surgery, Cannizzaro Hospital)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제43권 제1호

발행연도: 2016.1

수록면: 77 - 83 (7page)

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Background Previous studies have investigated facial artery perforators, but have reported inconsistent results regarding lateral nasal artery (LNA) perforators. Although several authors have described the use of LNA perforators for ala nasi and nasal sidewall reconstruction, the literature contains little information regarding the cadaveric dissection of LNA perforators, and most previously published studies have focused on facial artery perforators. Methods Sixteen hemifaces from eight fresh cadavers were dissected to study the LNA perforators. After the dissection was performed, the total length and diameter of the LNA and its perforators were measured. The quantity and the distribution of the LNA perforators supplying the overlying skin were then assessed. LNA perforator flaps were used for reconstruction in 10 nasal and perinasal defects. Results The mean total lengths of the LNA and its perforators were 49.37 mm and 16.06 mm, respectively. The mean diameters of the LNA and its perforators were 2.08 mm and 0.91 mm, respectively. Based on our findings, we mapped the face to indicate zones with a higher probability of finding perforators. No infection, hematoma, or complete flap necrosis were observed after the procedures. Conclusions Nasal reconstruction is a challenging procedure, and LNA propeller/V-Y perforator flaps are an excellent reconstructive option in certain cases. Based on our cadaveric study, we were able to identify an area in the upper third of the nasolabial groove with a high density of perforators.

#Perforator flap #Nasolabial fold #Skin neoplasms

참고문헌 (24)

참고문헌 신청

Allen RJ / 1994 / Deep inferior epigastric perforator flap for breast reconstruction / Ann Plast Surg 32:32~38

Koshima I / 1989 / Inferior epigastric artery skin flaps without rectus abdominis muscle / Br J Plast Surg 42:645~648

Hofer SO / 2005 / The facial artery perforator flap for reconstruction of perioral defects / Plast Reconstr Surg 115:996~1003

D’Arpa S / 2009 / Free style facial artery perforator flap for one stage reconstruction of the nasal ala / J Plast Reconstr Aesthet Surg 62:36~42

Karsidag S / 2010 / Single-stage ala nasi reconstruction: lateral nasal artery perforator flap / J Craniofac Surg 21:1887~1889

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