Alar Flap Combined With Free Auricular Composite Flap for the Reconstruction of Nasal Alar Defect

Wei, Lin; Qing, Yong; Liu, Jia; Cen, Ying

doi:10.1097/scs.0000000000001275

Cited by 8 publications

(6 citation statements)

References 3 publications

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“…If the graft size is larger than 1.0 cm from a free edge of graft, ischemic necrosis is possible 20 . In our study, the larger grafts have been used with some success, therefore we agree with the opinion of some scholars who have stated that the size of the graft should be less than 1.0 × 1.5 cm 2 and that an oval, triangular, or semicircular flap should be harvested to match the shape of the defect 21–23 . A melanocytic nevus infiltrates the skin of the ala and nasal vestibule, and a full-thickness alar defect needs to be repaired by a whole auricular composite flap.…”

Section: Discussionsupporting

confidence: 83%

“…20 In our study, the larger grafts have been used with some success, therefore we agree with the opinion of some scholars who have stated that the size of the graft should be less than 1.0 Â 1.5 cm 2 and that an oval, triangular, or semicircular flap should be harvested to match the shape of the defect. [21][22][23] A melanocytic nevus infiltrates the skin of the ala and nasal vestibule, and a full-thickness alar defect needs to be repaired by a whole auricular composite flap. If the nasal alar lining is undamaged, the graft is only harvested in 2 layers: the auricle convex skin and cartilage.…”

Section: Discussionmentioning

confidence: 99%

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Reconstruction of Cutaneous Nasal Alar Defects Following Melanocytic Nevus Resection

Lü

Jin

et al. 2021

Journal of Craniofacial Surgery

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Reconstruction of Cutaneous Nasal Alar Defects Following Melanocytic Nevus Resection

Lü

Jin

et al. 2021

Journal of Craniofacial Surgery

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“…However, due to the lack of reservoir tissue in the nose, many limitations for reconstructive surgery still exist. In addition, some other alar repair methods have shown satisfactory results; however, those procedures are complicated ( 16 , 17 ).…”

Section: Discussionmentioning

confidence: 99%

Case Report: A Preferred Reconstructing Modality to Restore Neoplastic Nasal Alar Subunit Defects: Sequential Facial Artery Perforator Flaps

Yang

et al. 2022

Front. Surg.

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BackgroundAchieving perfect repair of a nasal defect with the recovery of cosmetic subunits has become a challenge to plastic, dermatologic, and head and neck surgeons. The study aimed to evaluate the effect of reconstructing neoplastic nasal alar subunit defects with sequential facial artery perforator flaps produced from nasolabial groove tissue.MethodsA retrospective analysis of 20 patients who had undergone reconstruction for neoplastic nasal alar defects with this technique from January 2017 to October 2019 was performed. The reconstruction procedure used sequential facial artery perforator flaps. The surgical procedure used and follow-up results achieved have been documented photographically for all patients.ResultsThe aesthetic and functional results of surgery were satisfactory in all the 20 patients. After all surgeries, the reconstructed alar tissues were compliant, bilateral symmetries of the alae and nasolabial grooves were satisfactory, and no patients exhibited color mismatches between the flaps and surrounding tissues. During a mean follow-up period of 22 months, none of the patients exhibited alar retraction, inferior displacement, deformation, or hypertrophic scarring.ConclusionsThe sequential facial artery perforator flap technique created with nasolabial groove tissue to reconstruct neoplastic nasal alar defects is a simple single-stage procedure that provides excellent surgical outcomes.

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“…Although a free auricular composite flap is commonly used to restore full-thickness alar defects, soft tissue atrophy and pigmentation habitually occur during later stages due to poor vascularity from surrounding tissues, thus restricting its application in large area defects (3,4). In addition, partial auricular excision can cause mismatch in the bilateral size and shape of the ears.…”

Section: Introductionmentioning

confidence: 99%

Repair of severe traumatic nasal alar defects with combined pedicled flap and conchal cartilage composite grafts: a retrospective study

et al. 2020

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Background: Repair of traumatic alar defect is challenging because poor blood supply is caused by contracture scars, which sometimes extend beyond the alar groove. However, few studies have investigated the reconstruction results of severe traumatic cases. This study aimed to examine the clinical outcomes of severe traumatic alar defect reconstruction using either pedicled nasolabial or forehead flaps combined with conchal cartilage.Methods: This retrospective study investigated the clinical characteristics and treatment effects of 17 patients with severe traumatic alar defects treated in a single plastic surgery center from March 1, 2015, to September 1, 2018. All cases were scored and graded with regard to the size and depth of the alar defect and the surrounding scar according to the Alar Defect Severity Score (ADSS). Surgical outcomes were evaluated on the basis of the severity of defect before repair, donor site distortion, and postoperative nasal symmetry, especially shape and color. Results:The average ADSS of the cases was 8.1±0.8 (highest score, 9.0). No flap necrosis or any complications were observed postoperatively. The symmetry of the bilateral alae was satisfactory. No color distinction between grafts and surrounding tissues, retraction, or inferior displacement of the ala was observed at an average follow-up of 24.2±10.4 months (range, 8-42 months). The average postoperative surgeon-based evaluation score was 4.3±0.2 (highest score, 5.0). Esthetic and functional results were satisfactory in all cases.Conclusions: A pedicled flap combined with conchal composite grafts should be considered for the treatment of severe traumatic alar defect. This is a reproducible technique that enables a predictably decent outcome for severe traumatic alar defect, especially in Asian patients.

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Alar Flap Combined With Free Auricular Composite Flap for the Reconstruction of Nasal Alar Defect

Cited by 8 publications

References 3 publications

Reconstruction of Cutaneous Nasal Alar Defects Following Melanocytic Nevus Resection

Reconstruction of Cutaneous Nasal Alar Defects Following Melanocytic Nevus Resection

Case Report: A Preferred Reconstructing Modality to Restore Neoplastic Nasal Alar Subunit Defects: Sequential Facial Artery Perforator Flaps

Repair of severe traumatic nasal alar defects with combined pedicled flap and conchal cartilage composite grafts: a retrospective study

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