Optimal Use of Microvascular Free Flaps, Cartilage Grafts, and a Paramedian Forehead Flap for Aesthetic Reconstruction of the Nose and Adjacent Facial Units

Burget, Gary C.; Walton, Robert L.

doi:10.1097/01.prs.0000254362.53706.91

Cited by 152 publications

(120 citation statements)

References 8 publications

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“…However, microvascular flaps should be correctly designed to restore the size and volume of the lost tissue since, due to their retraction, a volume of 50% more than the defect to be covered should be considered when using this technique. The possibility of employing car tilage grafts to shape and reduce flap retraction should be considered 7 . To achieve more satisfactory esthetic results, the flap should then be carved.…”

Section: Discussionmentioning

confidence: 99%

Enxerto composto auricular na reconstrução da asa nasal

Ceratti¹,

Neto²,

Vittorazzi³

et al. 2012

Rev. Bras. Cir. Plást.

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Since the nose is located in the center of the face, small asymmetries and imperfections are easily recognized. One subunit of the nose is the nasal ala, a region that, when reconstructed, requires the achievement of esthetic and functional results. This poses a challenge to the plastic surgeon. In this article, we describe 3 cases of composite auricular grafts used for nasal alar reconstruction. The grafts presented total integration and provided satisfactory esthetic and functional results. A literature review revealed no differences in the complication rates between grafts and local flaps. Moreover, the shape of the auricular cartilage was maintained over time, showing rare distortions and no or minimal absorption, contrary to costal cartilage and bone grafts. The use of composite auricular grafts is versatile and safe. This procedure ensures excellent results in nasal alar reconstruction and guarantees low morbidity within the donor areas. Therefore, the use of this technique efficiently enables the repair of nasal defects.Keywords: Nose/surgery. Reconstructive surgical procedures. Ear, external/transplantation. RESUMOO nariz ocupa o centro da face, o que torna pequenas assimetrias e imperfeições evidentes. Uma de suas subunidades é a asa nasal, região que exige não apenas resultados estéticos, mas também funcionais, em sua reconstrução, tornando-se um desafio ao cirurgião plás-tico. Neste artigo são descritos 3 casos em que foi utilizado enxerto composto auricular para reconstrução da asa nasal. Os enxertos apresentaram integração total, com resultados estéticos e funcionais adequados. Segundo revisão da literatura, não há diferença nos ín-dices de complicação comparando-se os enxertos com os retalhos locais e, a longo prazo, a cartilagem auricular tende a manter-se no formato moldado, sofrendo raras distorções e mínima ou nenhuma absorção, diferentemente das cartilagens costais e dos enxertos ósseos. O enxerto composto auricular é uma técnica versátil e segura, com excelentes resultados na reconstrução da asa nasal e com baixa morbidade das áreas doadoras, cumprindo com eficiência seu objetivo reparador.

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Section: Discussionmentioning

confidence: 99%

Enxerto composto auricular na reconstrução da asa nasal

Ceratti¹,

Neto²,

Vittorazzi³

et al. 2012

Rev. Bras. Cir. Plást.

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“…They also have been used experimentally and clinically in association with free vascularized flaps to reconstruct tissue defects in the ear and nose [4,12,16], and the trachea [6]. For mandibular defect reconstruction, Bhathena and Kavarana [1] described the procedure of microvascularized free flap transfer combined with a primary silastic mandibular prosthesis in 69 patients.…”

Section: Introductionmentioning

confidence: 99%

Influence of Silicone Sheets on Microvascular Anastomosis

Kloeppel

Hoehnke

Staudenmaier

2008

Clinical Orthopaedics &Amp; Related Research

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“…To accomplish this, the reconstructive surgeon may require the combined use of locoregional and distant flaps. 2,7 Methods of nasal reconstruction are thought to have developed in India more than 2600 years ago. This development is likely linked to the practice of rhinokopia (nasal amputation) as a form of punishment.…”

Section: Commentmentioning

confidence: 99%

“…Fasciocutaneous free flaps have been used effectively when local flaps cannot provide adequate coverage [2][3][4] ; however, flap redundancy and thickness often mandate several additional procedures before achievement of a patent nasal airway. Use of the radial forearm free flap to recreate the nasal lining has been well described.…”

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confidence: 99%