Lateral Crural Transposition Flap in Tip Correction

Abstract

The LLC transposition flap can overcome the common irregularities of the LLCs and could be applied to primary and secondary rhinoplasties, as well as ethnic noses.

The Impact of Healthcare-Associated Infections in Patients Undergoing Oncological Microvascular Head and Neck Reconstruction: A Prospective Multicentre Study

“…As to the microbiological data, the species cultured in our series were similar to other studies [ 5 , 26 , 28 , 29 ]. From the entire list of microorganisms, Methicillin-resistant Staphylococcus aureus (MRSA) and MDR Pseudomonas aeruginosa stood out as the most common bacteria, both of which were cultured in 10.14% of all HAIs.…”

“…The extended use of perioperative antibiotics during more than 24 h is the most common guideline, as it seems to reduce the incidence of HAIs [ 1 , 5 , 9 , 18 , 27 , 28 , 29 , 30 , 31 ]. Nevertheless, there is no clear standard for the number of days antibiotics should be held (Karakida et al suggested three days [ 1 ], Reiffel et al five days [ 18 ] and Saunders et al seven days [ 9 ]).…”

“…The incidence rate of HAIs in hospital patients is a quality and safety indicator of patient care, being the most common complication of unsafe patient care worldwide [ 3 , 4 , 5 , 6 ]. Specifically, in patients undergoing microvascular head and neck reconstructions, the incidence of HAIs—headed by SSI [ 5 ]—is estimated as up to 44% [ 7 , 8 , 9 , 10 , 11 ]. Besides, HAIs differ from community-acquired infections in the microbiological pattern, and usually, the microorganisms involved tend to have higher rates of antibiotic resistance.…”

“…This could be explained by the complexity and length of microvascular reconstruction, as well as the large oncological resections that usually communicate the neck and the oral cavity, thus exposing cervical tissue to contaminated saliva and secretions from the respiratory and digestive tracts [ 17 ]. Nowadays, there is no consensus on the selection of antibiotics and whether to recommend them for or against the use of long-term antibiotic prophylaxis duration [ 5 , 7 , 9 , 18 , 19 ], due to the high incidence of patients suffering HAIs and the emergence of multidrug-resistant (MDR) bacteria.…”

Advanced Rhinoplasty: Problems and Solutions

“…To reinforce external nasal valve b. To correct minor cephalic positioning of lower lateral cartilages c.To provide a pleasant nostril borders[25] d. Lateral crural transposition flap: In this technique excessive parts of lower lateral cartilages that are usually trimmed and discarded in rhinoplasty, are folded inside, in this way, wide lateral crural cartilages are reshaped while excessive cartilage is used to reinforce the lateral crural cartilage [26].…”