Alternative 1-Step Nasal Reconstruction Technique

Kishi, Kazuo; Imanishi, Nobuaki; Shimizu, Yusuke; Shimizu, Ruka; Okabe, Keisuke; Nakajima, Hideo

doi:10.1001/archfaci.2011.1402

Cited by 7 publications

(3 citation statements)

References 12 publications

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“…It may be necessary to remove some subcutaneous tissue in the area to create space for the pedicle [23]. However, the pedicle forms a less abrupt angle compared to the traditional two-stage flap, in which it is completely twisted, potentially compromising vascularization to a greater extent [24].…”

Section: Discussionmentioning

confidence: 99%

Tunneled Island Flaps for the Reconstruction of Nasal Defects: A 21-Case Series

Moro-Bolado,

Carmona-Rodríguez,

Alwattar-Ceballos

et al. 2023

JCM

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(1) Background: The reconstruction of cutaneous defects following surgical procedures in the nasal pyramid presents a challenge due to the limited amount of available tissue. In cases of larger defects, skin from adjacent units is used. Traditionally, two-stage surgical flaps have been employed for reconstructing these defects. Tunnelized island flaps allow for the one-stage surgical reconstruction of nasal pyramid defects, using tissue from the forehead or cheek for the flap. (2) Methods: Descriptive retrospective study of 21 consecutive patients who underwent surgery for defects on the nasal pyramid using tunnelized island flaps. (3) Results: Surgical reconstruction was performed in 21 patients with basal cell carcinomas, 14 of them using the melolabial island flap and 7 using the paramedian forehead island flap. In all cases except one, clear histological margins were obtained. Immediate complications were mild and minor. It is worth noting the trapdoor effect complication, which improved over time in most cases, resulting in a satisfactory cosmetic outcome. No tumor recurrences were observed during an average follow-up period of 17.7 months. (4) Conclusions: Tunnelized island flaps allow for single-stage reconstruction of nasal pyramid defects, yielding excellent cosmetic results by utilizing adjacent skin. This procedure demands a certain level of skill but is associated with minimal complications, making it a valuable alternative in reconstructive dermatological surgery.

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Section: Discussionmentioning

confidence: 99%

Tunneled Island Flaps for the Reconstruction of Nasal Defects: A 21-Case Series

Moro-Bolado,

Carmona-Rodríguez,

Alwattar-Ceballos

et al. 2023

JCM

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“…Flip-flop flap is the term used in certain groups. 3,[6][7][8] As it is a modified island flap, it has to be extensively irrigated .It is quite mobile and the undermined tunnel facilitates a straight trajectory towards the area of concern. 3,9 This flap needs only a single stage procedure, though technically demanding, thereby avoiding the morbidity of subsequent interventions.…”

Section: Discussionmentioning

confidence: 99%

Tunneled superior naso-labial island flap in post mucor infraorbital defect

Munjal

Sharma

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

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Reconstruction of facial infraorbital defects, an untoward sequel of mucormycosis, is an issue confronting the rhinologist. Tunneled island flap was used in a patient with a wide defect involving the infraorbital region. Inspite of intricate pedicle dissection and likelihood of a trapdoor deformity these flaps facilitate repair in a single-staged procedure. The flap is so sited that its vascularity is not compromised neither by stretch tension or overlying tissue compression; while in the tunnel. The occasional, slight bulging is observed which is due to the pedicle; just over the undermined tunnel. This effect settles down with time and doesn’t need corrective intervention. Moreover, the donor site scars are merged in the margins of the aesthetic units thereby retaining central facial symmetry.

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“…The PMFF may utilise the contralateral or ipsilateral supratrochlear vessels. Additionally, single-stage techniques may involve tunnelling a de-epithelised flap under the skin at the radix, negating future flap division [ 5 , 11 , 12 ]. In specific patient populations, particularly smokers, excessive thinning of the PMFF should be avoided due to poor vascularity, and surgical delay improves flap survival [ 5 , 13 ].…”

Section: Surgical Anatomy and Techniquementioning

confidence: 99%

The use of the paramedian forehead flap alone or in combination with other techniques in the reconstruction of periocular defects and orbital exenterations

Ang

Juniat

O’Rourke

et al. 2022

Eye

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Purpose The paramedian forehead flap (PMFF) is a reconstructive option for large eyelid defects and orbital exenterations. We report a series of cases where PMFF reconstruction was carried out at various institutions in Australia. Methods This study was a multi-centre, retrospective, non-comparative case series investigating the clinical outcomes of the PMFF for reconstructing periocular defects and orbital exenterations. Results This case series describes twenty-seven patients (Female = 15, Male = 12), operated between 1991 to 2019, with a median age of 81 years (range: 45–93 years). Defect locations involved combinations of the medial canthus (16/27, 59.3%), upper eyelids (7/27, 25.9%), lower eyelid (4/27, 14.8%), both upper and lower eyelids (5/27, 18.5%), and orbital (7/27, 25.9%). There were no cases of flap necrosis. Minor post-operative complications were observed in ten patients with the most common being lagophthalmos. Median duration of follow-up was 17months (Range: 2months- 23years). Conclusions The PMFF is a versatile reconstructive tool for a range of periocular defects and orbital exenterations with minor post-operative complications.

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Alternative 1-Step Nasal Reconstruction Technique

Cited by 7 publications

References 12 publications

Tunneled Island Flaps for the Reconstruction of Nasal Defects: A 21-Case Series

Tunneled Island Flaps for the Reconstruction of Nasal Defects: A 21-Case Series

Tunneled superior naso-labial island flap in post mucor infraorbital defect

The use of the paramedian forehead flap alone or in combination with other techniques in the reconstruction of periocular defects and orbital exenterations

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