Our algorithm for nasal reconstruction.

Full Abstract

Nasal reconstruction is always challenging for plastic surgeons. Its midfacial localisation and the relationship between convexities and concavities of nasal subunits make impossible to hide any sort of deformity without a proper reconstruction. Nasal tissue defects can be caused by tumor removal, trauma or by any other insult to the nasal pyramid, like cocaine abuse, developing an irreversible sequela. Due to the special characteristics of the nasal pyramid surface, the removal of the lesion or the debridement must be performed according to nasal subunits as introduced by Burget. Afterwards, the reconstructive technique or a combination of them must be selected according to the size and the localisation of the defect created, and tissue availability to fulfil the procedure. An anatomical reconstruction must be completed as far as possible, trying to restore the nasal lining, the osteocartilaginous framework and the skin cover. In our department, 35 patients were operated on between 2000 and

2002:
three bilobed flaps, five nasolabial flaps, two V-Y advancement flaps from the sidewall, three dorsonasal flaps modified by Ohsumi, 19 paramedian forehead flaps, three cheek advancement flaps, three costocondral grafts, two full-thickness skin grafts and two auricular helix free flaps for alar reconstruction. All flaps but one free flap survived with no postoperative complications. After 12-24 months of follow-up, all reconstructions remained stable from cosmetic and functional point of view. Our aim is to present our choice for nasal reconstruction according to the size and localization of the defect, and donor tissue availability.

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Author information

Author/s: Yoon, T (T); Benito-Ruiz, J (J); García-Díez, E (E); Serra-Renom, J M (JM);

Affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Clinic, Barcelona, Spain. drtsky(-atsign-)gmail.com

Journal and publication information

Publication Type: Journal Article

Journal: Journal of plastic, reconstructive & aesthetic surgery : JPRAS (J Plast Reconstr Aesthet Surg), published in Netherlands. (Language: eng)

Reference: 2006-; vol 59 (issue 3) : pp 239-47

Dates: Created 2006/05/04; Completed 2006/06/20;

PMID: 16673535, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Humans
Male
Middle Aged
Nose Diseases - surgery
Rhinoplasty - methods
Surgical Flaps
Treatment Outcome

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