scholarly journals Alternative Procedure for One-Stage Nostril Reconstruction: A Case Report

2021 ◽  
Vol 3 (3) ◽  
pp. 158-161
Author(s):  
Iswinarno D. Saputro ◽  
Heri Noviana
Keyword(s):  
Case Report ◽  
Donor Site ◽  
Nasal Reconstruction ◽  
Defect Closure ◽  
Full Thickness ◽  
Nasolabial Flap ◽  
Nasal Cartilage ◽  
Nasal Defect ◽  
One Step ◽  
Turn Over

Closure of nasal defect remains a challenge for surgeons. There are several ways to do nasal reconstruction, including donor site for nasal reconstruction due to its vascularity that is superior to other areas. Methods: This is a case report of a 75-year old male patient with Squamous Cell Carcinoma on his left nostril who underwent wide excision. This action left a 4-cm defect, whilst the nasal septum remained intact. This defect closure was using V-Y advancement full thickness nasolabial flap in one step. This defect closure was using V-Y advancement full thickness nasolabial flap in one step. Results: The defect closure was performed with tum over local (nasobialis) flap from the left side of the nasal cartilage. The superiority of this flap, it is able to be performed bulking, so that closure with turn over local nasolabial flap has been a sole option in nostril reconstruction for decades, which gave very good cosmetic results. After being followed for 1 month after surgery, the flap was viable, the contour was well formed, the scar was minimal, and there was no respiratory disruption. The patient was satisfied by the results. Conclusion: Nasolabial turn over local flap can be used as an option to close a relatively wide nostril

Nasolabial Flap

2019 ◽  
pp. 307-316
Author(s):  
Michael Budd ◽  
Melissa Kanack ◽  
Michael Lee
Keyword(s):  
Donor Site ◽  
Nasal Reconstruction ◽  
Critical Component ◽  
Full Thickness ◽  
Nasolabial Flap ◽  
Younger Patient

The nasolabial flap is primarily used for nasal reconstruction and most frequently for full-thickness alar reconstruction due to the tissue’s location, texture, color, and bulk. The inferiorly based flap is most often used for alar reconstruction, while the superiorly based flap may also be used for nasal sidewall as well as alar reconstruction. Regardless of whether the flap will be superiorly or inferiorly based, the critical component of the patient marking is placement of the medial incision in the nasolabial or nasofacial crease. In the younger patient, consideration must be given to the donor site scar.

Composite Cartilage-osseous-mucosal Nasoseptal Flap for Reconstruction after Near Total Rhinectomy

2020 ◽  
Vol 130 (1) ◽  
pp. 98-103
Author(s):  
Karthik S. Shastri ◽  
Yufan Lin ◽  
Jessica Scordino ◽  
Carlos D. Pinheiro-Neto
Keyword(s):  
Donor Site ◽  
Donor Site Morbidity ◽  
Septal Cartilage ◽  
Nasal Reconstruction ◽  
Full Thickness ◽  
Nasoseptal Flap ◽  
Nasal Defect ◽  
Skin Envelope ◽  
Upper Lateral Cartilage ◽  
Nasal Defects

Background: Reconstruction of full thickness nasal defects usually requires different donor sites for the external skin envelope, structural elements, and internal nasal lining. In this paper we present a novel single site method for dual inner lining and skeleton repair for full thickness nasal defects with a composite nasoseptal flap and extended pedicle dissection. Methods: A 72-year-old male presented with a T4b melanoma involving the nasal dorsum and left upper lateral cartilage. Following full thickness resection, reconstruction was performed with a nasoseptal flap (NSF) with attached septal cartilage and vomer in conjunction with a paramedian forehead flap. Extended pedicle dissection into the pterygopalatine fossa allowed the NSF to fully cover the defect. Results: The nasal defect was fully corrected. There was no evidence of flap compromise or nasal valve stenosis at 1 month, 2 month, and 1 year follow-up visits. Conclusions: We present here the first successful application of a composite cartilage-osseous-mucosal NSF for multilayered nasal reconstruction. In appropriate patients, this technique may obviate the need for flaps or grafts from extranasal sources, limiting donor site morbidity.

scholarly journals Local flap for reconstruction of nasal defect following excision of basal cell carcinoma of nose

2016 ◽  
Vol 9 (4) ◽  
pp. 208
Author(s):  
Hasib Rahman ◽  
Syed Farhan Ali Razib ◽  
Md. Abul Kalam Azad ◽  
M. A. Mannan ◽  
Md. Ashik Anwar Bahar ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Local Flap ◽  
Nasal Reconstruction ◽  
Nasolabial Flap ◽  
Forehead Flap ◽  
Nasal Defect ◽  
Satisfactory Outcome

<p class="Abstract">Reconstruction of soft tissue at the nose following excision of basal cell carcinoma is always challenging, because of both functional and aesthetic importance of nose. The local flap is always preferable to skin graft as this produces “like with like” replacement, pliable cover and vascularized tissue over the skeletal framework. In this paper, we discussed six cases of nasal reconstruction with bilobed flap, forehead flap, and nasolabial flap. All flaps survived and the patients had satisfactory outcome.</p>

scholarly journals Reconstruction of the alae nasi by folded nasolabial flap

2007 ◽  
Vol 54 (2) ◽  
pp. 29-32 ◽  
Author(s):  
M. Jovanovic ◽  
M. Colic ◽  
L. Rasulic ◽  
M. Stojicic ◽  
M. Malis
Keyword(s):  
Skin Color ◽  
Nasolabial Fold ◽  
Full Thickness ◽  
Nasolabial Flap ◽  
Normal Breathing ◽  
Step Procedure ◽  
One Step ◽  
Nasal Defects ◽  
Alar Region ◽  
Made In

Reconstruction of the nose is very old surgical procedure and, in fact, represents the beginnings of plastic surgery. In reconstruction, an effort has to be made in order to achieve a normal look. A surgeon must choose carefully the method of reconstruction, taking into consideration the skin color, texture and nasal topography. Full-thickness nasal defects in alar region are very difficult for reconstruction due to anatomic characteristics and structures, which are very important for normal breathing and cosmetic result. Our study analyzed 16 patients with full-thickness defect of alae nasi. Folded nasolabial flaps were used for reconstruction of these defects. Good results were achieved in all cases. The flap was vital. No flap necrosis was reported in any of these patients. The lining of the nose was good. Postoperatively, the alar edge was thickened, but it became thinned after six months. The incision in donor?s region was well placed in the natural line of nasolabial fold. It was concluded that folded nasolabial flap was extremely good one-step procedure for reconstruction of full-thickness defects of alar region. .

scholarly journals Reconstruction of Nasal Subunits using a Nasolabial Flap: Case Report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Montufar C ◽  
Ugalde VA ◽  
Kushida CB
Keyword(s):  
Case Report ◽  
Nasal Reconstruction ◽  
Nasolabial Flap ◽  
Multiple Scenarios ◽  
Repair Techniques

Nasal reconstruction is a broad and diverse topic that encompasses multiple scenarios as well as various repair techniques. The ala nasi is considered a cosmetic unit that represents a challenge for the surgeon, both in its functional and aesthetic reconstruction.

scholarly journals Nasolabial Flap and Simultaneous Cartilage Graft for Nasal Alar Reconstruction- A Case Report

2021 ◽  
Vol 27 (2) ◽  
pp. 184-187
Author(s):  
MM Moniruzzamzn ◽  
Avijit Sarker ◽  
Md Abdullah Al Harun ◽  
Iftekharul Islam ◽  
Mujahidul Islam Sabuj
Keyword(s):  
Case Report ◽  
Septal Cartilage ◽  
Cartilage Graft ◽  
Full Thickness ◽  
Nasolabial Flap ◽  
Mucosal Lining

A case of full thickness defect involving left ala of nose reconstructed with nasolabial flap for the coverage of skin and mucosal lining, along with simultaneous insertion of septal cartilage, which completes the reconstruction. Bangladesh J Otorhinolaryngol 2021; 27(2): 184-187

scholarly journals Is reconstruction of composite defects of nose and cheek following tumor excision utilizing subunit principle the best?

2021 ◽  
Vol 7 (5) ◽  
pp. 721
Author(s):  
Viresh Arora ◽  
Faisal Ashfaq ◽  
Atif Rafique
Keyword(s):  
Wound Dehiscence ◽  
Advancement Flap ◽  
Nasal Reconstruction ◽  
Full Thickness ◽  
Lateral Migration ◽  
Forehead Flap ◽  
Nasal Defect ◽  
Alar Retraction ◽  
Simultaneous Reconstruction ◽  
Nasal Defects

<p class="abstract"><strong>Background:</strong> Composite defects of nose and cheek are best stage reconstructed with separate nose and cheek flaps to recreate a blended nose-cheek junction, achieved by cheek advancement flap for cheek and forehead flap or local grafts for the nasal defect. This article analyses whether reconstruction of defects utilizing well-known subunit principle is cosmetically the best?</p><p class="abstract"><strong>Methods:</strong> Case records of fifteen patients of nasal cancers extension into the cheek from January 2011 to December 2015 were analyzed retrospectively.</p><p class="abstract"><strong>Results:</strong> Out of fifteen patients 8 were men and 7 women, two patients had SCC, rest had BCC. Average size of defect was 4.5 cm. Modified Imre’s cheek advancement flaps was used in all to reconstruct cheek defects while paramedian forehead flap was used for nasal reconstruction in 13 patients, skin graft and nasal advancement flap in one each. Eight patients underwent single stage reconstruction while seven with full thickness nasal defects had a delayed reconstruction. 13 patients rated their final appearance as satisfactory, while surgeon rated 12 patients with well-blended nose-cheek junction as satisfactory and lateral migration of junction being unsatisfactory. Alar retraction was observed in two patients with full thickness nasal defects. Two patients who underwent inner nasal lining reconstruction developed wound dehiscence while simultaneous reconstruction of nose and cheek was performed.</p><p class="abstract"><strong>Conclusions:</strong> Subunit principle application for composite nose and cheek results in symmetrical nose-cheek junction and appears excellent technique in achieving a satisfactory aesthetic outcome. Optimal results in full thickness nasal defects are achieved where reconstructing is delayed.</p>

scholarly journals Single Stage Nasal Reconstruction in a Near Total Nasal Defect

2020 ◽  
Vol 53 (03) ◽  
pp. 431-434
Author(s):  
Vimalendu Brajesh ◽  
Aditya Aggarwal ◽  
Sukhdeep Singh ◽  
Vishal Vora ◽  
Kanika Rana
Keyword(s):  
Skin Layer ◽  
Septal Cartilage ◽  
Single Stage ◽  
Nasal Reconstruction ◽  
Full Thickness ◽  
Outer Skin ◽  
Aesthetic Result ◽  
Nasal Defect ◽  
External Nose ◽  
Xeroderma Pigmentosa

Abstract Reconstruction of nasal defect is difficult and challenging. A full-thickness defect of nose requires reconstruction of thin inner lining, middle skeletal (bony/cartilaginous) support, and outer skin layer cover. Large full-thickness defects of nose require complex multistage reconstruction to achieve good functional and aesthetic result. We present here a case of 12-year-old boy, a known case of xeroderma pigmentosa, who underwent wide local excision for squamous cell carcinoma of the nose, leaving a near total defect of the external nose. The reconstruction was done with a suprafascial, thin radial artery forearm free-flap for the external cover as well as the inner lining along with the septal cartilage graft for skeletal support in a single stage.

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