Reconstruction of cutaneous defects of the nasal tip and alar by two different methods
Archives of Craniofacial Surgery
;
: 260-263, 2018.
Artigo
em Inglês
| 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Recidiva
/
Pele
/
Neoplasias Cutâneas
/
Retalhos Cirúrgicos
/
Nariz
/
Seguimentos
/
Epiderme
/
Métodos
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Archives of Craniofacial Surgery
Ano de publicação:
2018
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS