Reconstruction of cutaneous defects of the nasal tip and alar by two different methods
Archives of Craniofacial Surgery
; : 260-263, 2018.
Article
in En
| WPRIM
| ID: wpr-719058
Responsible library:
WPRO
ABSTRACT
BACKGROUND: The alar and nasal tip are important subunits of the nose. Determining the optimal procedure for reconstructing a cutaneous defect in a nasal subunit depends on several factors including size, location, and involvement of deep underlying structures. We treated cutaneous defects after tumor ablation in the alar and nasal tip with a local flap, using an S-shaped design and a modified V-Y advancement flap with a croissant shape. METHODS: We analyzed 36 patients with skin tumors who underwent flap coverage after tumor ablation. Rotation flaps were used in 26 cases and croissant-shaped V-Y advancement flaps were used in 10 cases. The primary cause of the defects was skin cancer, except for one benign tumor. RESULTS: The mean patient age was 71 years. The size of the defects ranged from 0.49 cm² to 3.5 cm². No recurrence of skin cancer was noted and all flaps lasted until the end of follow-up. Partial desquamation of the epidermis was noted in one case. The postoperative appearance for most patients was excellent, objectively and subjectively. CONCLUSION: For cutaneous defects of up to about 4.0 cm² of the alar and nasal tip, local flaps using our methods offered a good cosmetic and therapeutic result. The main advantage of our flaps is the minimal dissection required compared to bilobed and other local flap methods. We believe our flaps are a suitable option for alar and nasal tip reconstruction.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Recurrence
/
Skin
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Skin Neoplasms
/
Surgical Flaps
/
Nose
/
Follow-Up Studies
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Epidermis
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Methods
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Archives of Craniofacial Surgery
Year:
2018
Type:
Article