Reconstruction of Wegener's Nasal Deformity Using Bilateral Facial Artery Musculomucosal Flaps

Duffy, Frederick J.; Rossi, R; Pribaz, Julian J.

doi:10.1097/00006534-199804050-00027

Cited by 24 publications

(34 citation statements)

References 11 publications

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“…5,18 During the second stage, the surgically delayed flap can be completely reelevated with safety, excess fat and subcutaneous fat widely sculpted, and support grafts placed or modified (Figs. 9 and 10).…”

Section: Two-or Three-stage Vertical Paramedian Forehead Flapmentioning

confidence: 99%

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Nasal Reconstruction

Menick

2010

Plastic and Reconstructive Surgery

166

115

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The face tells the world who we are and materially influences what we can become. The nose is a primary feature. Thin, supple cover and lining are shaped by a middle layer of bone and cartilage support to create its characteristic skin quality, border outline, and three-dimensional contour. The delicacy of its tissues, its central projecting location, and the need to reestablish both a normal appearance and functional breathing make its reconstruction difficult. Nasal repair requires careful analysis of the anatomical and aesthetic deficiencies. Because the wound does not accurately reflect the tissue deficiency, the repair is determined by the "normal." A preliminary operation may be required to ensure clear margins, recreate the defect, reestablish a stable nasal platform on which to build the nose, and prepare tissues for transfer. Major nasal defects require resurfacing with forehead tissue; support with septal, ear, or rib grafts; and replacement of missing lining. This requires a staged approach.

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Section: Two-or Three-stage Vertical Paramedian Forehead Flapmentioning

confidence: 99%

“…Both add facial additional scars. The facial artery myomucosal flap, described by Pribaz et al,18,19 transfers intraoral mucosa based on the facial artery and is useful to line an isolated loss within the midvault in the nose injured by cocaine or Wegener's disease. 3.…”

mentioning

confidence: 99%

Nasal Reconstruction

Menick

2010

Plastic and Reconstructive Surgery

166

115

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“…It has been used successfully for reconstruction of various defects in nasal lining. 9,19,20 Unilateral or bilateral, superiorly based facial artery musculomucosal flaps provide moist mucosal lining based on an axial blood supply. This blood supply is quite robust, making it possible to raise very long flaps that can be folded for additional versatility.…”

Section: Mucosal Flaps: Intraoralmentioning

confidence: 99%

“…4 through 7). 19 For intranasal resurfacing, these flaps are preferred to skin grafts and random mucosal flaps because they provide moisture and can be moved in almost any direction as transposition or island flaps. Although the dissection is deep to the facial nerve and the muscles of facial expression, injury to these structures is nevertheless possible and should be kept in mind.…”

Section: Mucosal Flaps: Intraoralmentioning

confidence: 99%

Complex Nasal Reconstruction

Taghinia

Pribaz

2008

Plastic and Reconstructive Surgery

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“…H ä ufi g bestehen gro ß e strukturelle Verluste von Knorpel-und Schleimhautgewebe. Um dieses Problem zu bew ä ltigen, favorisieren Duff y und Mitarbeiter f ü r ausgedehnte rhinochirurgische Ma ß nahmen eine Technik, bei der Arteria facialis gestielte Muskelschleimhautlappen zum Einsatz kommen[54] . Die gr ö ß te bisher publizierte Fallserie wurde von Congdon und Mitarbeitern vorgestellt.…”

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Rhinochirurgie bei Systemerkrankungen

Sachse¹,

Stoll²

2010

Laryngo-Rhino-Otol

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Systemic disorders represent a heterogenous group of diseases which can primarily manifest at the nose and sinuses as limited disease or secondarily as part of the systemic involvement. Rhinologists therefore play an important role in the diagnostic but also therapeutic process. Although therapy of systemic disorders is primary systemic, additional nasal surgery may become necessary. Surgical procedures include sinus surgery for the treatment of complications of the orbit and the lacrimal duct, septorhinoplasty due to saddle nose deformity and closure of septal perforation. Since many systemic disorders represent very rare diseases, recommendations are based on the analysis of single case reports and studies with a limited number of patients. Even though data is still limited, experiences published so far have shown that autogenous cartilage or bone transplants can be used in nasal reconstruction of deformities caused by tuberculosis, leprosy, wegener's granulomatosis, sarcoidosis and relapsing polychondritis. Experiences gained from these diseases support our observation that well-established techniques of septorhinoplasty can be used in systemic disorders as well. However, reaching a state of remission is an essential condition before considering any rhinosurgery in these patients. Under these circumstances revision surgery has to be expected more frequently compared to the typical collective of patients undergoing septorhinoplasty. These observations in part may also be useful for the treatment of nasal septal perforations since implantation of cartilage- or bone grafts represents an essential step in the closure of septal perforations. Apart from the treatment of orbital complications, sinus surgery has been proven beneficial in reducing nasal symptoms and increasing quality of life in patients refractory to systemic treatment.

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Reconstruction of Wegener's Nasal Deformity Using Bilateral Facial Artery Musculomucosal Flaps

Cited by 24 publications

References 11 publications

Nasal Reconstruction

Nasal Reconstruction

Complex Nasal Reconstruction

Rhinochirurgie bei Systemerkrankungen

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