کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4122076 1270411 2006 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Our algorithm for nasal reconstruction
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
پیش نمایش صفحه اول مقاله
Our algorithm for nasal reconstruction
چکیده انگلیسی

SummaryNasal reconstruction is always challenging for plastic surgeons. Its midfacial localisation and the relationship between convexities and concavities of nasal subunits make impossible to hide any sort of deformity without a proper reconstruction. Nasal tissue defects can be caused by tumor removal, trauma or by any other insult to the nasal pyramid, like cocaine abuse, developing an irreversible sequela. Due to the special characteristics of the nasal pyramid surface, the removal of the lesion or the debridement must be performed according to nasal subunits as introduced by Burget. Afterwards, the reconstructive technique or a combination of them must be selected according to the size and the localisation of the defect created, and tissue availability to fulfil the procedure. An anatomical reconstruction must be completed as far as possible, trying to restore the nasal lining, the osteocartilaginous framework and the skin cover.In our department, 35 patients were operated on between 2000 and 2002: three bilobed flaps, five nasolabial flaps, two V-Y advancement flaps from the sidewall, three dorsonasal flaps modified by Ohsumi, 19 paramedian forehead flaps, three cheek advancement flaps, three costocondral grafts, two full-thickness skin grafts and two auricular helix free flaps for alar reconstruction.All flaps but one free flap survived with no postoperative complications. After 12–24 months of follow-up, all reconstructions remained stable from cosmetic and functional point of view.Our aim is to present our choice for nasal reconstruction according to the size and localization of the defect, and donor tissue availability.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 59, Issue 3, March 2006, Pages 239–247
نویسندگان
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