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

Abstract

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.

Functional and Aesthetic Lower Lip Reconstruction Using the Yotsuyanagy Flap

“…The lips are the main component of the lower third of the face 9,10,17,18 ; they act as a sphincter that retains oral content during the masticatory phase; they are also involved during phonation and play an important role in the expression of feelings. 7,9,19,20 The lips constitute the aesthetic unit that extends vertically from the subnasal point to the mental fold, and horizontally, they are located between the melolabial and labiomental folds on each side.…”

“…[4][5][6][7][8] The goals of treatment are to restore normal lip anatomy, as well as oral movement and competence (maintaining maximum oral opening and sensitivity), to provide skin and mucosa coverage, to preserve lip dimension and prevent dental exposure allowing the use of dental prostheses, and, finally, to offer optimal aesthetic results always aiming for minimal sequelae. [9][10][11][12][13][14][15] To achieve those goals, a proper evaluation of the defect is mandatory; this evaluation must include size, location, depth, impaired function, and which anatomical subunits are involved. 9,16 Any lip reconstruction requires proper anatomy knowledge.…”

Galeo-pericranial flap—A rich pedicle flap for temporisation of large maxillofacial defect: A case report

“…[ 2 ] The patients age, comorbidity and motivation also play an important role. [ 3 ] Although the gold standard for both soft tissue and bony reconstruction of large head and neck surgical defects is the microvascular free flap,[ 4 ] with a success rate as high as 97%–99% in developed countries. [ 5 ] However, this option is still completely unavailable or rudimentary in many developing countries.…”

The Application of Vermilion Flap to Avoid the Labial Postoperative Fibrotic Depression in the Transversal Advanced Reconstructive Surgery of the Lower Lip

“…The most frequent surgical intervention in malignant processes occupying less than 30% of the lower lip is cuneiform and rectangular excision. These defects are closed with direct suturing or transverse advancement of complex muco-musculo-cutaneous flaps, which create a perpendicular postoperative lip scar 1,2 .…”