A Unique Method for Total Nasal Defect Reconstruction - Prefabricated Innervated Osteocutaneous Radial Forearm Free Flap

Ahčan, Uroš; Didanović, Vojko; Porčnik, Aleš

doi:10.1080/23320885.2018.1549494

Cited by 9 publications

(10 citation statements)

References 16 publications

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“…Moreover, concomitant veins can also be reliably used for venous anastomosis [17]. Various composite flaps have been described, including fasciocutaneous, adipofascial, osteocutaneous, and tendinocutaneous flaps, designed and transferred from the radial forearm based on the defect size, location, and tissue requirements [18][19][20].…”

Section: Discussionmentioning

confidence: 99%

The Central Facial Defect Reconstruction Using a Radial Forearm Free Flap after Malignant Cutaneous Tumor Ablation

Cho,

Park,

Eun

2023

JCM

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Purpose: Acquired defects of the central face pose significant challenges in achieving acceptable cosmetic and functional outcomes. The site, size, and depth of tissue loss often render local tissues inadequate for the repair of major nasal defects. In this article, we aim to demonstrate the efficacy of radial forearm-free flaps as an ideal choice for various central facial unit reconstructions. Methods: This study encompassed patients treated between 2020 and 2022 who underwent facial reconstruction using radial forearm flaps. These flaps were employed in eleven patients with defects involving the lower lid, nose, upper lip, and lower lip. Additionally, we used osteocutaneous flaps in one patient to reconstruct a right nasal bone defect. In three patients requiring medial and lateral canthal tendon reconstruction in one case and oral sphincter reconstruction in two cases, the palmaris longus tendon was included with the flap. Results: In the majority of cases, we achieved good to excellent aesthetic and functional results. Notably, there were no instances of flap failure or partial necrosis in this series. All patients experienced uneventful healing at the donor site. Conclusions: The radial forearm-free flap stands as an ideal and reliable method for reconstructing various facial defects. It offers efficient and thin-conforming skin coverage.

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Section: Discussionmentioning

confidence: 99%

The Central Facial Defect Reconstruction Using a Radial Forearm Free Flap after Malignant Cutaneous Tumor Ablation

Cho,

Park,

Eun

2023

JCM

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“…Recently, Walton et al described the use of a 3D scaffold to serve as a support and form modulator for nasal reconstruction [ 3 ], based on porous polyethylene, highlighting its advantages including excellent biocompatibility, tissue ingrowth, and adherence [ 10 , 11 ]. Additionally, a previous approach using a CAD/CAM method was described by Ahcan et al who used a prefabricated model to define the shape and contour of the flap [ 12 ]. In our case, we have incorporated a novel method for improving cartilage shaping using a CAD/CAM 3D printed model as a template for cartilage modeling.…”

Section: Discussionmentioning

confidence: 99%

A Novel Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) 3D Printing Method for Nasal Framework Reconstruction Using Microvascular Free Flaps

Chiesa‐Estomba¹,

González-Garcı́a²,

Sistiaga-Suárez³

et al. 2022

Cureus

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The need for a total or subtotal nose resection represents a dramatic situation for any patient and a challenge for the reconstructive surgeon. Because even in the most skillful hands, an optimal result may be difficult to achieve. In this way, sometimes a free flap reconstruction is needed. A subtotal nasal reconstruction is presented using a fasciocutaneous free flap supported by computer-aided design (CAD), computer-aided manufacturing (CAM), and novel 3D printed guide to recreate the nasal cartilage framework. A successfully free flap reconstruction of the nasal framework was achieved supported by the CAD/CAM 3D printed template. We present a novel approach for nasal total or subtotal reconstruction using a CAD/CAM 3D printed model to create the nasal framework, based on the anatomical and radiological evaluation of the patient.

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“…There are many techniques with different indications, capabilities, and results for nasal reconstruction, such as composite auricular graft, forehead flap, scalping flap, washio flap and free flap. [4][5][6][7][8][9][10][11][12][13][14][15][16][17] In children, nasal reconstruction with a forehead flap has been used with good advantages 11 but the skin graft scar or the vertical scar in expanded forehead cases, especially in darker skinned patients, is a problem. Converse 13 reported use of the scalping forehead flap for nasal reconstruction for the first time.…”

Section: Discussionmentioning

confidence: 99%

“…3 There are many techniques for nasal reconstruction, such as composite auricular graft, forehead flap, scalping flap, washio flap, and free flap. [4][5][6][7][8][9][10][11][12][13][14][15][16][17] The double "S" principle is critical, where the first "S" refers to similarity of tissues, and the second "S" refers to the subunits-units principle for reconstruction. 6,7 Although the technique of reconstruction and similarity of tissues are very important, the donor site morbidity and scar should be considered as important items.…”

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confidence: 99%

Nasal Reconstruction by Expanded Forehead Scalping Flap: Case Report with Literature Review

Hesamirostami

2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Nasal reconstruction is a difficult and complex surgery due to highlights and shadows of three-dimensional central structure of the face. Similarity of tissues, units–subunits, and invisibility of the scar are very important principles for reconstruction. In this case report, we present reconstruction of subunits of the nose by an expanded forehead scalping flap in a 12-year-old boy, whose tip and columellar subunits had been avulsed by a dog bite, in a hidden scar manner.

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A Unique Method for Total Nasal Defect Reconstruction - Prefabricated Innervated Osteocutaneous Radial Forearm Free Flap

Cited by 9 publications

References 16 publications

The Central Facial Defect Reconstruction Using a Radial Forearm Free Flap after Malignant Cutaneous Tumor Ablation

The Central Facial Defect Reconstruction Using a Radial Forearm Free Flap after Malignant Cutaneous Tumor Ablation

A Novel Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) 3D Printing Method for Nasal Framework Reconstruction Using Microvascular Free Flaps

Nasal Reconstruction by Expanded Forehead Scalping Flap: Case Report with Literature Review

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