Cargando…
Reconstruction of cutaneous defects of the nasal tip and alar by two different methods
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 tum...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Cleft Palate-Craniofacial Association
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325337/ https://www.ncbi.nlm.nih.gov/pubmed/30613087 http://dx.doi.org/10.7181/acfs.2018.02271 |
_version_ | 1783386111056281600 |
---|---|
author | Kim, Yong Hun Yoon, Hyung Woo Chung, Seum Chung, Yoon Kyu |
author_facet | Kim, Yong Hun Yoon, Hyung Woo Chung, Seum Chung, Yoon Kyu |
author_sort | Kim, Yong Hun |
collection | PubMed |
description | 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 cm(2) to 3.5 cm(2). 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 cm(2) 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. |
format | Online Article Text |
id | pubmed-6325337 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Korean Cleft Palate-Craniofacial Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-63253372019-01-11 Reconstruction of cutaneous defects of the nasal tip and alar by two different methods Kim, Yong Hun Yoon, Hyung Woo Chung, Seum Chung, Yoon Kyu Arch Craniofac Surg Original Article 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 cm(2) to 3.5 cm(2). 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 cm(2) 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. Korean Cleft Palate-Craniofacial Association 2018-12 2018-12-27 /pmc/articles/PMC6325337/ /pubmed/30613087 http://dx.doi.org/10.7181/acfs.2018.02271 Text en Copyright © 2018 The Korean Cleft Palate-Craniofacial Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Yong Hun Yoon, Hyung Woo Chung, Seum Chung, Yoon Kyu Reconstruction of cutaneous defects of the nasal tip and alar by two different methods |
title | Reconstruction of cutaneous defects of the nasal tip and alar by two different methods |
title_full | Reconstruction of cutaneous defects of the nasal tip and alar by two different methods |
title_fullStr | Reconstruction of cutaneous defects of the nasal tip and alar by two different methods |
title_full_unstemmed | Reconstruction of cutaneous defects of the nasal tip and alar by two different methods |
title_short | Reconstruction of cutaneous defects of the nasal tip and alar by two different methods |
title_sort | reconstruction of cutaneous defects of the nasal tip and alar by two different methods |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325337/ https://www.ncbi.nlm.nih.gov/pubmed/30613087 http://dx.doi.org/10.7181/acfs.2018.02271 |
work_keys_str_mv | AT kimyonghun reconstructionofcutaneousdefectsofthenasaltipandalarbytwodifferentmethods AT yoonhyungwoo reconstructionofcutaneousdefectsofthenasaltipandalarbytwodifferentmethods AT chungseum reconstructionofcutaneousdefectsofthenasaltipandalarbytwodifferentmethods AT chungyoonkyu reconstructionofcutaneousdefectsofthenasaltipandalarbytwodifferentmethods |