Reconstruction of cutaneous defects of the nasal tip and alar by two different methods
Archives of Craniofacial Surgery
;
: 260-263, 2018.
Artículo
en Inglés
| WPRIM
| ID: wpr-719058
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Recurrencia
/
Piel
/
Neoplasias Cutáneas
/
Colgajos Quirúrgicos
/
Nariz
/
Estudios de Seguimiento
/
Epidermis
/
Métodos
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Archives of Craniofacial Surgery
Año:
2018
Tipo del documento:
Artículo
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