A Novel Approach for Total Nasal Reconstruction

Zarrabi, Shahrouz; Welch, Mark N.; Neary, J. Patrick; Kim, Beomjune

doi:10.1016/j.joms.2018.11.007

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…In the midfacial region, the main pedicle used is the facial artery and its branches, such as the angular artery, the labial arteries, and the dorsal nasal artery [16,30]. In particular defects, for example in the nasal region, flaps can derive from the forehead vascular plexus, where supratrochlear and supraorbital arteries are the main flap pedicles [18,31]. Doppler probe mapping of vascular pedicles is mandatory during midfacial reconstruction flap design as it allows for the individuation of precise vessel courses [14].…”

Section: Discussionmentioning

confidence: 99%

“…Paramedian and forehead hairline island flaps are harvested for medium-large defects and their donor site wounds could require a split-thickness skin graft of a dermal substitute to be appropriately closed [18,35,36]. Nasal obstruction is a complication of nasal reconstruction and it is secondary to wound contraction, compromising internal and external nasal valves [31]. Labial flaps such as the Abbe and the Karapandzic flaps can cause functional impairments such as microstomia and lip incompetence to liquids, solvable with minor ancillary surgeries [19,20].…”

Section: Discussionmentioning

confidence: 99%

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Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques

Salzano

Maffìa

Vaira

et al. 2023

JCM

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Background: The reconstruction of midface skin defects represents a challenge for the head and neck surgeon due to the midface’s significant role in defining important facial traits. Due to the high complexity of the midface region, there is no possibility to use one definitive flap for all purposes. For moderate defects, the most common reconstructive techniques are represented by regional flaps. These flaps can be defined as donor tissue with a pedunculated axial blood supply not necessarily adjacent to the defect. The aim of this study is to highlight the more common surgical techniques adopted for midface reconstruction, providing a focus on each technique with its description and indications. Methods: A literature review was conducted using PubMed, an international database. The target of the research was to collect at least 10 different surgical techniques. Results: Twelve different techniques were selected and cataloged. The flaps included were the bilobed flap, rhomboid flap, facial-artery-based flaps (nasolabial flap, island composite nasal flap, retroangular flap), cervicofacial flap, paramedian forehead flap, frontal hairline island flap, keystone flap, Karapandzic flap, Abbè flap, and Mustardè flap. Conclusions: The study of the facial subunits, the location and size of the defect, the choice of the appropriate flap, and respect for the vascular pedicles are the key elements for optimal outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques

Salzano

Maffìa

Vaira

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“… 126 – 128 In virtual surgical planning for nasal airway obstruction, modification of the patient’s preoperative model was first performed, and CFD was applied to evaluate nasal patency. 120 , 121 , 129 Zarrabi et al 130 reported the use of CAD/CAM to assist the reconstruction of the patient’s face. In this study, the designed scaffold was used to support a nasal prosthesis, which can be regarded as the prototype of the patient-specific design of the nasal cartilage.…”

Section: Nasal Cartilage-related Virtual Surgical Planning and 3d Primentioning

confidence: 99%

Computational technology for nasal cartilage-related clinical research and application

Shi

Huang

2020

Int J Oral Sci

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Surgeons need to understand the effects of the nasal cartilage on facial morphology, the function of both soft tissues and hard tissues and nasal function when performing nasal surgery. In nasal cartilage-related surgery, the main goals for clinical research should include clarification of surgical goals, rationalization of surgical methods, precision and personalization of surgical design and preparation and improved convenience of doctor-patient communication. Computational technology has become an effective way to achieve these goals. Advances in three-dimensional (3D) imaging technology will promote nasal cartilage-related applications, including research on computational modelling technology, computational simulation technology, virtual surgery planning and 3D printing technology. These technologies are destined to revolutionize nasal surgery further. In this review, we summarize the advantages, latest findings and application progress of various computational technologies used in clinical nasal cartilage-related work and research. The application prospects of each technique are also discussed.

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Application of digital technology in nasal reconstruction

Sun

Zhao

2021

Chinese Journal of Plastic and Reconstructive Surgery

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A Novel Approach for Total Nasal Reconstruction

Cited by 4 publications

References 8 publications

Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques

Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques

Computational technology for nasal cartilage-related clinical research and application

Application of digital technology in nasal reconstruction

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