NEW SOLUTIONS IN NASAL ALA RECONSTRUCTION
https://doi.org/10.51523/2708-6011.2018-15-1-6
Abstract
The article describes the technique and results of the method of single-stage nasal ala reconstruction based on a modified puzzle-flap. The developed method has been applied for nasal ala reconstruction in 10 patients after malignant tumor excision. The anatomical and functional outcomes of the reconstruction were evaluated with the use of NAFEQ questioning and visual analogue scale. The external skin, internal nasal lining, and cartilage support of nasal ala were restored in a single-stage procedure in all the cases. The natural appearance and contour of neoala were achieved with a minimal correction in the donor area. Partial necrosis of a flap was observed in one case. The anatomical outcome of the reconstruction was evaluated as completely satisfactory or satisfactory in 9 out of 10 patients (90%) according to NAFEQ. The average evaluation of the results of the reconstruction by the VAS scale was 81.0 ± 6.8 (100-point scale), the minimal value - 70 points, the maximal one - 95 points. Nasal function was not disturbed in any case. The proposed method of nasal ala reconstruction allows to achieve acceptable functional and anatomical results in a single-stage procedure.
References
1. Austin, G. K. Reconstruction of nasal defects: contemporary approaches / G. K. Austin, W. W. Shockley // Curr Opin Otolaryngol Head Neck Surg. - 2016. - Vol. 24. - P. 453-460.
2. Thornton, J. F. Nasal Reconstruction: An Overview and Nuances / J. F. Thornton, J. R. Griffin, F. C. Constantine // Semin Plast Surg. - 2008. - Vol. 22. - P. 257-268.
3. Michelotti, B. Nasal reconstruction / B. Michelotti, D. Mackay // Clin Anat. - 2012. - Vol. 25,№ 1. - P. 86-98.
4. Shah, A. R. Aesthetic Repair of Small to Medium-Sized Nasal Defects / A. R. Shah, R. Zoumalan, M. S. Constantinides // Facial Plast Surg. - 2008. - Vol. 24. - P. 105-119.
5. Singh, D. J. Nasal Reconstruction: Aesthetic and Functional Considerations for Alar Defects / D. J. Singh, S. P. Bartlett // Facial Plastic Surgery. - 2003. - Vol. 19,№ 1. - P. 19-27.
6. Клочихин, А. Л. Реконструктивные операции при раке кожи носа / А. Л. Клочихин, А. Л. Чистяков, Р. А. Ахвердиев // Вестник оториноларингологии. - 2010. - № 1. - С. 52-55.
7. Cerci, F. B. Nasolabial interpolation flap for alar reconstruction after Mohs micrographic surgery / F. B. Cerci, Т. Н. Nguyen // Surg Cosmet Dermatol. - 2014. - Vol. 6, № 2. - P. 113-120.
8. Рак кожи носа. Возможности пластического замещения дефектов при хирургическом лечении / М. А. Кропотов [и др.]// Опухоли головы и шеи. - 2014. - № 1. - С. 4-10.
9. Иванов, С. А.Реконструкция крыла носа пластическим материалом на основе модифицированного пазл-лоскута / С. А. Иванов, Ю. Н. Савенко // Российская ринология. - 2017. - Т. 25, № 4. - С. 30-34.
10. Moolenburgh, S. E. Psychological, Functional and Aesthetic Outcome after Nasal Reconstruction / S. E. Moolenburgh.- Rotterdam: lpskamp Drukkers BV, 2009. - 159 p.
11. Quinn, J. V. An Assessment of Clinical Wound Evaluation Scales / J. V. Quinn, G. A. Wells // Academic Emergency Medicine. - 1998. - Vol. 5, № 6. - P. 583-586.
12. Goldberg, L. H. «Jigsaw puzzle» advancement flap for repair of a surgical defect involving the lateral nasal ala / L.H. Goldberg, A. Kimyai-Asadi, S. Silapunt // Dermatol Surg. - 2005. - Vol. 31. - P. 569-571.
13. Иванов, С. А. Реконструкция наружного носа аутологичными тканями и пластическим материалом с включением аллогенного хряща / С. А. Иванов, И. В. Залуцкий // Докл. НАН Беларуси. - 2016. - Т. 60, № 6. - С. 103-110.
Review
For citations:
Ivanov S.A. NEW SOLUTIONS IN NASAL ALA RECONSTRUCTION. Health and Ecology Issues. 2018;(1):36-42. (In Russ.) https://doi.org/10.51523/2708-6011.2018-15-1-6
Views: 339
Email this article 