Frontonasal Flap for Reconstruction of Complete Alar Defects

Kurata, Sotaro; Hashimoto, Hiroyuki; Terashi, Hiroto; Tadokoro, Taketsugu; Ishii, Yumi; Shibuya, Hiromi; Sato, Haruaki; Kudo, Yoshiko; Takayasu, Susumu

doi:10.1111/j.1524-4725.1996.tb00587.x

Cited by 9 publications

(4 citation statements)

References 10 publications

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“…Surgical excision of a tumor of the nose often leaves a defect too large for primary closure. 7,8 The indication for use of the above flaps is a fullthickness skin defect. Humphreys et al 1 classified nasal ala defects by their thickness into superficial (extending to the reticular dermis), intermediate-thickness (through the dermis or into soft tissue such as fat or muscle), and through-and-through (affecting the entire thickness of the ala) defects.…”

Section: Discussionmentioning

confidence: 99%

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A Composite Nasolabial Flap for an Entire Ala Reconstruction

Kakinuma

Iwasawa

Honjoh

et al. 2002

Dermatologic Surgery

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background. It is difficult to reconstruct an entire alar defect. We report a case of an entire alar reconstruction carried out in two stages with a composite nasolabial flap lined with retroauricular skin and supported with the attached conchal cartilage. objective. A composite nasolabial flap was applied for reconstruction of entire alar defect in this patient. methods. The lining skin for the flap was obtained from retroauricular region acceptable to the patient, and the conchal cartilage was used simultaneously for support and as the attachment for the lining skin. The flap was then replaced and se-cured. Half a year later, the flap was flipped and transferred to the alar defect as a second step. results. The final shape and texture were satisfactory. All procedures were performed under local anesthesia. conclusion. Our design of composite flap has been successfully utilized to repair an entire alar defect with cosmetically and functionally good results, minimizing the donor area and the resulting operation scars. This composite nasolabial flap is thought to be the best choice of a flap for an entire alar defect reconstruction.H. Kakinuma, MD, U. Iwasawa, MD, M. Honjoh, MD, and T. Koura, MD have indicated no significant interest with commercial supporters.

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Section: Discussionmentioning

confidence: 99%

“…Rotation of the nasal tip, and also to cover lateral nasal defects. 7,8 The indication for use of the above flaps is a fullthickness skin defect. A median forehead flap (a frontal musculocutaneous flap) is commonly used for large full-thickness defects of the nose, and for the repair of whole-ala defects.…”

Section: Discussionmentioning

confidence: 99%

A Composite Nasolabial Flap for an Entire Ala Reconstruction

Kakinuma

Iwasawa

Honjoh

et al. 2002

Dermatologic Surgery

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“…Rotation flaps (single or double) of nasal tissue 5 and V‐Y advancement flaps 6 are used for relatively small full‐thickness defects. A frontonasal flap has been utilized in the reconstruction of relatively large defects (up to 4 cm × 3 cm) of the nasal tip, and also to cover lateral nasal defects 7,8 . The indication for use of the above flaps is a full‐thickness skin defect.…”

Section: Discussionmentioning

confidence: 99%

A Composite Nasolabial Flap for an Entire Ala Reconstruction

et al. 2002

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“…A variety of techniques have been used in alar reconstruction, including numerous flaps from the forehead, nose, and cheek. [1][2][3][4][5] Composite auricular grafts have been used in alar reconstruction when cartilaginous support is needed, such as in through-andthrough alar defects of limited size or intermediate-thickness defects involving the rim. 1,6 -9 The survival of composite grafts is limited because the process of imbibition and inosculation must occur from the very narrow wound edges.…”

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The Effect of Hyperbaric Oxygen Therapy on Composite Graft Survival

Menon

Rodriguez³

et al. 2004

Annals of Plastic Surgery

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Auricular composite grafts are a useful reconstructive option, particularly for nasal reconstruction. This study evaluates the effect of hyperbaric oxygen (HBO) therapy on auricular composite graft survival in rabbits. Circular chondrocutaneous composite grafts of 0.5, 1, or 2 cm in diameter were resected from the ears of rabbits. The grafts were sutured back into position. Half the rabbits in each group received HBO postoperatively, consisting of 90 minutes at 2.4 atm. Rabbits received 7 treatments in 5 days. Control rabbits did not receive HBO. On day 21 the percentage area of graft survival was calculated from gross and histologic examination. Two-centimeter grafts treated with HBO (n = 8) had a mean graft survival rate of 85.8 +/- 15.7% compared with a survival rate of 51.31 +/- 38.5% for the control group (n = 8; P = 0.0478). There was no such benefit in smaller grafts. HBO could prove clinically useful for larger composite grafts.

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Frontonasal Flap for Reconstruction of Complete Alar Defects

Abstract: The modified frontonasal flap is one of the ideal techniques to reconstruct an entire nasal ala.

Cited by 9 publications

References 10 publications

A Composite Nasolabial Flap for an Entire Ala Reconstruction

A Composite Nasolabial Flap for an Entire Ala Reconstruction

A Composite Nasolabial Flap for an Entire Ala Reconstruction

The Effect of Hyperbaric Oxygen Therapy on Composite Graft Survival

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