TY - JOUR
T1 - Nasal Reconstruction
T2 - A Simplified Approach Based on 419 Operated Cases
AU - Konofaos, P.
AU - Alvarez, S.
AU - McKinnie, J. E.
AU - Wallace, R. D.
N1 - Publisher Copyright:
© 2014, Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery.
PY - 2015/2
Y1 - 2015/2
N2 - Background: The purpose of this review is to examine a single surgeon’s 10-year experience with nose defects and offer a simplified approach for nasal reconstruction to close most nasal defects following Mohs micrographic surgery (MMS).Patients and Methods: A retrospective chart review was performed on patients undergoing repair of MMS defects of the nose over a 10-year period. Data collected included patients’ age and sex, anatomic location of the defect, type of reconstruction, and number of operations required.Results: A total of 419 patients were included in this study. The most common location for nasal reconstruction was the nasal dorsum and sidewalls (66.35 %). Complications mainly related to reconstruction of defects of the tip ± ala (n = 31), followed by the ala (n = 15) and the dorsum and sidewalls (n = 13). Bulkiness of the flap used (n = 32) and hypertrophic scar (n = 13) were the most common complications. The bilobed flap was the most commonly used flap (n = 145), followed by nasolabial flap (n = 69), FTSGs (n = 63), forehead flap (n = 62), and dorsal glabellar flap (n = 44).Level of Evidence IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266.Conclusions: In this article, a simplified approach for nasal defects reconstruction is presented, which is based on commonly performed local flaps and skin grafting. This algorithm can be useful for the novice plastic surgeons in planning a reconstructive strategy that will be efficient, easy to perform, and produces an acceptable esthetic and functional outcome.
AB - Background: The purpose of this review is to examine a single surgeon’s 10-year experience with nose defects and offer a simplified approach for nasal reconstruction to close most nasal defects following Mohs micrographic surgery (MMS).Patients and Methods: A retrospective chart review was performed on patients undergoing repair of MMS defects of the nose over a 10-year period. Data collected included patients’ age and sex, anatomic location of the defect, type of reconstruction, and number of operations required.Results: A total of 419 patients were included in this study. The most common location for nasal reconstruction was the nasal dorsum and sidewalls (66.35 %). Complications mainly related to reconstruction of defects of the tip ± ala (n = 31), followed by the ala (n = 15) and the dorsum and sidewalls (n = 13). Bulkiness of the flap used (n = 32) and hypertrophic scar (n = 13) were the most common complications. The bilobed flap was the most commonly used flap (n = 145), followed by nasolabial flap (n = 69), FTSGs (n = 63), forehead flap (n = 62), and dorsal glabellar flap (n = 44).Level of Evidence IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266.Conclusions: In this article, a simplified approach for nasal defects reconstruction is presented, which is based on commonly performed local flaps and skin grafting. This algorithm can be useful for the novice plastic surgeons in planning a reconstructive strategy that will be efficient, easy to perform, and produces an acceptable esthetic and functional outcome.
KW - Algorithm
KW - Bilobed flap
KW - Dorsal glabellar flap
KW - Forehead flap
KW - Full-thickness skin graft
KW - Nasal reconstruction
KW - Nasolabial flap
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U2 - 10.1007/s00266-014-0417-0
DO - 10.1007/s00266-014-0417-0
M3 - Article
C2 - 25413009
AN - SCOPUS:84943588798
SN - 0364-216X
VL - 39
SP - 91
EP - 99
JO - Aesthetic Plastic Surgery
JF - Aesthetic Plastic Surgery
IS - 1
ER -