1/7. Nasal reconstruction with a thin, free flap prefabricated with a silicone sheet: case report.When the reconstruction of facial tissue requires the use of a flap, this is best carried out with a thin flap that matches the texture of facial skin. For this reason, the authors often use postauricular and subclavicular donor sites. In the reported case, a prefabricated flap was created in the patient's subclavicular skin, by utilizing a silicone sheet and transferring the thoracodorsal vessels. Two weeks after the procedure, this prefabricated flap was transplanted with microsurgical techniques, to reconstruct the ala nasi, after a limited resection of a cavernous hemangioma that preserved the alar cartilage. A very favorable outcome was achieved.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/7. An absolute vascular milieu for primary bone graft in aesthetic nasal reconstruction.Restoration of a composite nasal defect with an aesthetically acceptable vascularized full-thickness soft tissue cover and a primary bone graft in a surgically unscarred area at the same stage requires that the flap have a complete formal inset from all the sides, for enhancement of the milieu interior. This article addresses such a situation, which required the use of a cantilever bone graft simultaneously with an interpolated midline forehead flap based on the supratrochlear vessel and transferred on a deepithelialized bridge segment, which allowed an absolute inset from all the sides. The eventual aesthetic outcome was satisfactory after a secondary surgery for nasal tip correction using conchal cartilage graft for tip framework. The procedure has allowed placement of the bone graft in an unscarred bed, with a complete inset of the vascularized full-thickness soft tissue cover. This provided the graft with the ideal vascular milieu for survival and consolidation and achieved an aesthetically acceptable soft tissue reconstruction of the nose with minimal donor-site morbidity. It obviated the need for the staged procedures and provided a secure vascular milieu for the primary bone graft.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
3/7. Reconstruction of short nose deformity using nasolabial flaps pedicled on the infraorbital vessels.Bilateral nasolabial flaps pedicled on the infraorbital vessels, and costal cartilage grafts were used to reconstruct a severe nasal deformity caused by Wegener's granuloma. We believe this flap is another useful method for nasal reconstruction, when nasolabial flaps pedicled on the angular vessels cannot be used.- - - - - - - - - - ranking = 6keywords = vessel (Clic here for more details about this article) |
4/7. Two flag flaps based on the supratrochlear vessels for nasal reconstruction.A short forehead or a low hairline sometimes precludes the use of a median forehead flap for reconstruction of defects of the lower nose when both lining and cover are needed. Two flag flaps based on the supratrochlear vessels were used in a patient with a full-thickness alar defect and a narrow, short forehead.- - - - - - - - - - ranking = 5keywords = vessel (Clic here for more details about this article) |
5/7. Median forehead island skin flap for the correction of severely collapsed nose.Five cases of severely collapsed nose as a result of infection were corrected by excision of intranasal scar and lining the intranasal defect with median forehead island skin flaps based on supratrochlear vessels. Simultaneous bone grafting was undertaken to support the reexpanded nose. Clinical experiences are presented.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
6/7. The radial forearm flap as a pedicled flap for resurfacing a scarred nose.The radial forearm flap, applied as a free flap, has been shown to be very versatile, if covering a defect with a thin, flexible flap is of predominant importance. The advantage of this technique compensates for any disadvantages in the donor area. Under certain circumstances it is a better solution to design the radial forearm flap as a distant, vascular pedicled flap than to perform it as a free flap with microvascular anastomoses. In treatment of this patient we used a distally pedicled radial forearm flap to resurface a burned nose and to reconstruct the tip of the nose. In this case a scarred forehead prevented us from using an expanded forehead flap. The increased morbidity of a distant, pedicled flap was well accepted as the price for preventing additional scarring in the face, as would have occurred in the case of a free flap, through the exposure of vessels for the vascular anastomoses.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
7/7. Microvascular reconstruction of nose and ear defects using composite auricular free flaps.Two cases using composite auricular free flaps, based on the superficial temporal vessels, in the reconstruction of full-thickness defects of the nose and ear are reported. This composite free flap can be based on either the superficial temporal or the posterior auricular vessels depending on the defect to be reconstructed. The superficial temporal vessels can also be used in reversed flow to obtain a vascular pedicle of sufficient length for microvascular anastomosis. The anatomical vascular features of the flap make it possible to reconstruct various facial defects with freedom of design.- - - - - - - - - - ranking = 3keywords = vessel (Clic here for more details about this article) |