|
KMID : 1038220130400060748
|
|
Archives of Plastic Surgery
2013 Volume.40 No. 6 p.748 ~ p.753
|
|
|
Through-and-through Nasal Reconstruction with the Bi-Pedicled Forehead Flap
|
|
Agostini Tommaso
Perello Raffaella
Russo Giulia Lo
Spinelli Giuseppe
|
|
|
Abstract
|
|
|
Background: Nasal reconstruction is one of the most difficult challenges for the head and neck surgeon, especially in the case of complex full thickness defects following malignant skin tumor resection. Full-thickness defects require demanding multi-step reconstruction.
Methods: Seven patients underwent surgical reconstruction of full-thickness nasal defects with a bi-pedicled forehead flap shaped appropriately to the defect. Patients were aged between 58 and 86 years, with a mean age of 63.4 years. All of the tumors were excised using traditional surgery, and in 4 of the patients, reconstruction was performed simultaneously following negativity of fresh frozen sections of the margins under general anesthesia.
Results: Nasal reconstruction was well accepted by all of the patients suffering non-melanoma skin tumors with acceptable cosmetic outcomes. The heart-shaped forehead flap was harvested in cases of subtotal involvement of the nasal pyramid, while smaller defects were reconstructed with a wing-shaped flap. No cartilaginous or osseous support was necessary.
Conclusions: This bi-pedicled forehead flap was a valid, versatile, and easy-to-implement alternative to microsurgery or multi-step reconstruction. The flap is the best indication for full-thickness nasal defects but can also be indicated for other complex facial defects in the orbital (exenteratio orbitae), zygomatic, and cheek area, for which the availability of a flap equipped with two thick and hairless lobes can be a valuable resource.
|
|
|
KEYWORD
|
|
|
Nose neoplasms, Nose deformities, acquired, Surgical flaps, Nasal surgical procedures, Nasal bone
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|