Forehead flaps for nasal reconstruction: A single-center experience

Cecchi, Roberto; Troiano, Giovanni

doi:10.1111/dth.12475

Cited by 2 publications

(4 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 12 , 13 In the studies 12 , 13 that performed forehead flaps under local anesthesia, one used tumescent local anesthesia and the other had small defects of an average side of 22 mm. 12 , 13 Overall, very few studies exist evaluating more complex reconstructions performed under local anesthesia using forehead flaps or multisubunit locoregional flaps. With the potential benefit of reconstruction without using general anesthesia, the goal of the study is to evaluate the surgical outcomes and perioperative complications to determine the efficacy and safety of complex nasal reconstructions under such settings.…”

Section: Introductionmentioning

confidence: 99%

“…[9][10][11] Due to the complexity of forehead flaps, most surgeons prefer these types of reconstructions being performed under general anesthesia; however, a few more recent studies have demonstrated that forehead flaps can be safely used for reconstruction of nasal defects under local anesthesia. 12,13 In the studies 12,13 that performed forehead flaps under local anesthesia, one used tumescent local anesthesia and the other had small defects of an average side of 22 mm. 12,13 Overall, very few studies exist evaluating more complex reconstructions performed under local anesthesia using forehead flaps or multisubunit locoregional flaps.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Complex Nasal Reconstruction in a Wide-awake Ambulatory Setting: A Study of Efficacy and Perioperative Patient Experience

Denis-Katz

Bastianelli

Macdonald

et al. 2022

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: The use of local anesthesia in nasal surgery has gained popularity as a cost-effective and safe alternative. With the potential benefit of reconstruction without using general anesthesia, the goal of the study was to evaluate the patient-reported experience in addition to surgical outcomes and perioperative complications. Methods: A mixed-methods study was completed with retrospective chart review and patient-reported outcome questionnaire. The primary outcome measures were demographics, oncologic and surgical details, and postoperative complications. Secondary outcome measures were aesthetic outcomes and procedure tolerance, which were gathered from the FACE-Q questionnaire. Results: Of the 22 patients who met inclusion criteria, nine patients (41%) had forehead flaps performed and 13 patients (59%) had multilayer reconstruction with local flaps and cartilage grafts. The average number of surgeries performed, including revisions, was 2.3 ± 0.2. The overall complication rate for reconstructions and revisions was 20%, most of these were minor complications. The overall subjective rating of patient's appearance was excellent with an average score of 83.9 (± 17.3) out of 100. There was minimal appearance distress as a product of the surgery with an average score of 84.9 (±18.8). On a scale of one to five, patients reported an average of 4.3 for convenience, 3.8 for efficiency of setup and procedure, and 3.4 out of 5 for comfortability with having an operation performed on their face wide awake. Conclusion: Our study demonstrated that complex nasal reconstruction performed under local anesthetic in a minor procedure setting is a feasible and safe option with good patient-reported outcomes.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Complex Nasal Reconstruction in a Wide-awake Ambulatory Setting: A Study of Efficacy and Perioperative Patient Experience

Denis-Katz

Bastianelli

Macdonald

et al. 2022

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…2,3 Although nasal defect repair has been done using various reconstructive approaches such as local flaps and orthoposition flaps, these techniques yield a depressed facial scar and sometimes require additional surgeries (2-staged reconstruction). [4][5][6] Previous research has reported that split-thickness and full-thickness skin grafts obtained from a nonfacial area are good alternatives for nasal defect repairs. 6,7 However, the nasal defects caused by trauma or tumor resection are often too deep for satisfactory results to be achieved with skin grafts alone.…”

mentioning

confidence: 99%

“…Nasal reconstruction remains challenging due to the complex anatomy of the nose and the importance of the aesthetic outcome 2,3 . Although nasal defect repair has been done using various reconstructive approaches such as local flaps and orthoposition flaps, these techniques yield a depressed facial scar and sometimes require additional surgeries (2-staged reconstruction) 4–6 …”

mentioning

confidence: 99%

Reconstruction of Distal Nasal Defects With a Large Postauricular Skin-Fat-Fascia Composite Graft

Liu

et al. 2021

Ann Plast Surg

View full text Add to dashboard Cite

Background: Composite grafts have previously been reported to achieve a good outcome for nasal defect repair, but composite grafts have greater metabolic needs than simple skin. Therefore, the traditionally recommended size of a composite graft for nasal reconstruction is less than 1.5 cm in diameter. However, the distal nose is generally well supplied with blood vessels, which might support the use of larger composite grafts in such a highly vascularized recipient site. The aim of the article is to investigate whether a large skin-fat-fascia composite graft (larger than 2.0 cm) is viable for the repair of partial-thickness nasal defects. Methods: From October 2017 to December 2019, 13 patients with partial-thickness nasal defects underwent nasal reconstruction using a large postauricular skin-fat-fascia composite graft. Cases were followed up for 3 to 14 months postoperatively. The aesthetic outcome was evaluated in comparison with preoperative digital images. Results: Skin-fat-fascia composite grafts survived without graft necrosis, dermal fibrosis, or skin contraction in all cases. Favorable aesthetic outcomes were obtained in all patients, and no further revision surgery was need. Conclusions: A postauricular composite graft larger than 2.0 cm is a safe and effective reconstruction approach for partial-thickness nasal defects. This technique offers significant advantages in terms of no additional facial scar, no visible asymmetry on the face, no additional surgery for revision, and with mild scar in the donor site of the postauricular region.

show abstract

Forehead flaps for nasal reconstruction: A single-center experience

Cited by 2 publications

References 10 publications

Complex Nasal Reconstruction in a Wide-awake Ambulatory Setting: A Study of Efficacy and Perioperative Patient Experience

Complex Nasal Reconstruction in a Wide-awake Ambulatory Setting: A Study of Efficacy and Perioperative Patient Experience

Reconstruction of Distal Nasal Defects With a Large Postauricular Skin-Fat-Fascia Composite Graft

Contact Info

Product

Resources

About