Cosmetic results of reconstruction of full thickness nasal alar defects using cheek skin flaps
https://doi.org/10.51523/2708-6011.2020-17-2-10
Abstract
Objective: to analyze cosmetic results following reconstruction of nasal alar defects using cheek skin flaps. Material and methods. The results of 29 operations were analyzed. The reconstruction was performed with nasolabial flaps and jigsaw puzzle flaps. The cosmetic outcomes were evaluated by the five-point scale by means of patient-report and specialist-report questionnaire. Results. Acceptable overall outcomes were achieved in 22 cases according to the experts’ assessment and in 24 cases according to the patients’ assessment. The highest scores were noted for alar color and position, and the lowest scores - for alar size, shape, and nostril size. The complication rate was 11.1 %. Delayed surgical corrections were undertaken in 10 patients. Conclusion. The reconstruction of full thickness nasal alar defects using cheek skin flaps made it possible to achieve acceptable outcomes with minimal donor site damage in the majority of the patients.
About the Authors
S. A. Ivanov
Gomel State Medical University
Belarus
Belarus
Sergei A. Ivanov – Candidate of Medical Sciences, Associate Professor at the Department of Oncology of the EI «Gomel State Medical University»
e-mail: srgivgm@gmail.com
V. N. Yadchenko
Gomel State Medical University
Belarus
Belarus
Vladislav N. Yadchenko – Candidate of Medical Sciences, Assistant lecturer at the Department of Traumatology, Orthopedics and Military Field Surgery with the course of Anesthesiology and Intensive Care of the EI «Gomel State Medical University»
A. A. Poddubny
Gomel State Medical University
Belarus
Belarus
Artyom A. Poddubny – 5-year student of the Faculty of General Medicine of the EI «Gomel State Medical University»
E. S. Ivanova
Gomel State Medical University
Belarus
Belarus
Ekaterina S. Ivanova – 5-year student of the Faculty of General Medicine of the EI «Gomel State Medical University»
References
1. Singh DJ, Bartlett SP. Nasal Reconstruction: Aes-thetic and Functional Considerations for Alar De-fects. Facial Plastic Surgery. 2003;19(1):1927. doi: 10.1055/s-2003-39128
2. Austin GK, Shockley WW. Reconstruction of na-sal defects: contemporary approaches. Curr Opin Otolaryngol Head Neck Surg. 2016;24:453-60. doi: 10.1097/MOO.0000000000000295
3. Ortins-Pina A, Teixeira AI, Sanches M, Gouveia AI, Filipe PL, Silva JM. Nasal ala reconstruction: Surgical conundrum. J Cutan Aesthet Surg. 2017;10:55-8. doi: 10.4103/JCAS.JCAS_130_16
4. Driscoll BP, Baker SR. Reconstruction of nasal alar defects. Arch Facial Plast Surg. 2001;3(4):91-99
5. Bloom JD, Ransom ER, Miller CJ. Reconstruction of alar defects. Facial Plast Surg Clin North Am. 2011;19(1):63-83. doi: 10.1016/j.fsc.2010.10.009
6. Chen C, Patel R, Chi J. Comprehensive Algorithm for Nasal Ala Reconstruction: Utility of the Auric-ular Composite Graft. Surg J. 2018;4:e55–e61. doi: 10.1055/s-0038-1639581
7. Lohuis PJ, Godefroy WP, Baker SR, Tasman AJ. Transposition flaps in nasal reconstruction. Facial Plast Surg Clin North Am. 2011;19(1):85-106. doi: 10.1016/j.fsc.2010.10.002
8. Weathers WM, Wolfswinkel EM, Nguyen H, Thornton JF. Expanded uses for the nasolabial flap. Semin Plast Surg. 2013;27(2):104-109. doi: 10.1055/s-0033-1351234
9. Ivanov SA, Savenko YN. Rekonstruktsiya kryla nosa plasticheskim materialom na osnove modi-fitsirovannogo pazl-loskuta [Reconstruction of na-sal ala with plastic material based on a modified puzzle flap]. Rossiyskaya Rinologiya [Russian rhinology]. 2017;25(4):30-34. (In Russ). doi: 10.17116/rosrino201725330-34
10. Ivanov SA, Zalutsky IV. Rekonstruktsiya naruzhnogo nosa autologichnymi tkanyami i plas-ticheskim materialom s vklyucheniyem allogen-nogo khryashcha [Reconstruction of the external nose with autologous tissues and plastic material including allogeneic cartilage]. Doklady NAN Bela-rusi [Reports of the NAN of Belarus]. 2016;60(6):103-10. (In Russ.)
11. Bi H, Xing X, Li J. Nasolabial-alar crease: a nat-ural line to facilitate transposition of the nasolabi-al flap for lower nasal reconstruction. Annals of Plastic Surgery, 2014;73(5):520-24. doi: 10.1097/SAP. 0b013e31827f547e
Review
For citations:
Ivanov S.A., Yadchenko V.N., Poddubny A.A., Ivanova E.S. Cosmetic results of reconstruction of full thickness nasal alar defects using cheek skin flaps. Health and Ecology Issues. 2020;(2):70-77. (In Russ.) https://doi.org/10.51523/2708-6011.2020-17-2-10
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