Prefabricated Nasolabial Flap for Reconstruction of Full-Thickness Distal Nasal Defects

Silistreli, Özlem Karataş; Demirdöver, Cenk; Ayhan, Meltem; Öztan, Yücel; Görğü, Metin; Ulusal, Betül Gözel

doi:10.1111/j.1524-4725.2005.31159

Cited by 11 publications

(5 citation statements)

References 55 publications

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“…Typical aesthetic deficits consist of the trapdoor or bulkiness phenomenon for local flaps and colour mismatch between the reconstructed area and the neighbouring skin or atrophy and shriveling of the graft with secondary distortion of the surrounding soft tissue for full-thickness skin graft. [ 14 15 16 ]…”

Section: Introductionmentioning

confidence: 99%

Comparison of local flaps and skin grafts to repair cheek skin defects

Ebrahimi¹,

Ashayeri²,

Rasouli³

2015

J Cutan Aesthet Surg

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Background and Objective:Selecting the appropriate technique for surgical incisions, and reconstruction of facial defects after skin tumour excision has always been one of the surgeon's biggest concerns. The aim of this study is to compare the results between the local flap and skin graft to reconstruct cheek defects after basal cell carcinoma excision.Patients and Methods:In this retrospective study, 40 patients with skin defects resulting from skin tumour (Basal cell carcinoma) excision in cheek zones (16 sub-orbital, 18 bucco-mandibular and six auricular) were treated using local flap (n = 20) and skin graft (n = 20) from October 2010 to April 2012. All patients were followed up for 12 months, postoperatively. In addition, general assessments including complications, patient satisfaction, tissue co-ordination, skin colour and hospitalisation days were obtained.Results:Five patients had postoperative hyper-pigmentation complication in the skin graft group and none occurred in the local flap (P = 0.046). In the early postoperative period (2 weeks), mean scores in patient satisfaction, tissue co-ordination and skin colour were statistically significant increase in the local flaps (P < 0.001, P < 0.001, P < 0.001, respectively) and in the later postoperative period (12 months) only mean scores in skin colour significantly increased in the local flaps (P < 0.001). The mean postoperative length of hospitalisation days was 1.7 ± 0.4 days in the local flap group, and 3.63 ± 1.16 days in the skin graft group (P = 0.001).Conclusion:In the local flap group: Patient satisfaction, tissue co-ordination and skin colour were improved after 2 weeks. Also in 12-months follow up visits, skin colour was improved significantly and the hyperpigmentation was reduced. Generally, in this study the local flaps had better results in clinical outcomes and patient satisfaction. However, for each cheek defect the surgeon must choose the appropriate reconstruction strategy to avoid undesirable outcomes.

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Section: Introductionmentioning

confidence: 99%

Comparison of local flaps and skin grafts to repair cheek skin defects

Ebrahimi¹,

Ashayeri²,

Rasouli³

2015

J Cutan Aesthet Surg

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“…The nasolabial flap is one of the most frequently used local flaps in the reconstruction of defects in the nose and perinasal region. Since its introduction by Blasius et al in 1842, many authors have focused on the concept of the nasolabial flap [ 6 , 10 ]. It is viewed as a safe flap for facial reconstruction depending on its specific patterns of vascularization.…”

Section: Discussionmentioning

confidence: 99%

Cranially-based nasolabial flaps for the reconstruction of nasal surgical defects

et al. 2018

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BackgroundCranially-based nasolabial flaps are a good alternative for the reconstruction of nasal defects.MethodsA cranially-based nasolabial flap was used in 18 patients to reconstruct defects of the nose from 2010 to 2016, and the long-term results are presented in this report.ResultsFifteen of the flaps completely survived. All the patients had a bulky appearance, but they did not want to undergo a second operation for cosmesis. The dissection of the flap took approximately 20 minutes, and the total operation lasted for 1 hour. The patients were hospitalized for 1–7 days, and the postoperative follow-up period was 1–28 months (mean, 17 months).ConclusionsThe cranially-based nasolabial flap possesses all the advantages of the traditional forehead flap, and can safely be used in selected cases.

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“…Most common esthetic problems are trapdoor or bulkiness in local flaps and color mismatch or atrophy and shriveling of the graft with secondary distortion of the soft tissue in skin grafts. [ 5 6 7 ]…”

Section: Discussionmentioning

confidence: 99%

Salient points in reconstruction of nasal skin after tumor ablation with local flaps

Ebrahimi¹,

Motamedi²,

Nejadsarvari³

et al. 2016

J Cutan Aesthet Surg

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Objective:A variety of nasal skin reconstruction methods are available to meet the esthetic patient's needs. In this article, we review some of modifications of these procedures and share our experience in reconstruction of different parts of the nasal skin following skin tumor ablation.Patients and Methods:From January 2010 to January 2014, 171 patients underwent nasal skin reconstruction after excising cancerous lesions of the involved nasal skin. The patient's history, pre- and post-operation photographs, and the surgery data were collected and assessed. Demographic data related to the type of cancer, defect size and location, type of reconstruction were collected.Results:A variety of local flaps were used based on location and defect features. Nearly all flaps healed primarily without postsurgical significant complications.Conclusion:According to the results and the outcomes of the operations, we concluded that a certain flaps are more effective than others in nasal skin reconstruction. Local flap reconstruction of the nose has good esthetic result with low complication rate.

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Prefabricated Nasolabial Flap for Reconstruction of Full-Thickness Distal Nasal Defects

Abstract: The prefabricated nasolabial flap offers a superior esthetic and functional result and may be an appropriate reconstructive option in reconstruction of small- to moderate-size distal nasal defects.

Cited by 11 publications

References 55 publications

Comparison of local flaps and skin grafts to repair cheek skin defects

Comparison of local flaps and skin grafts to repair cheek skin defects

Cranially-based nasolabial flaps for the reconstruction of nasal surgical defects

Salient points in reconstruction of nasal skin after tumor ablation with local flaps

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