Nasal alar and lobule reconstruction – Case presentation
Journal Title: Romanian Journal of Rhinology - Year 2015, Vol 5, Issue 20
Abstract
We present a reconstruction of a posttraumatic nasal lobular and alar defect in a three-stage intervention. The first operation restored the cartilaginous support by a combination of a free conchal composite graft and a septal chondromucosal pivotal flap covered by a paramedian forehead pedicled flap. The second operation separated the pedicle of the flap, followed one month later by cosmetic refinements. We restored both length and shape of the nose and a functional symmetrical nostril. Surgical options are discussed regarding available donor areas and techniques. CONCLUSION. Lobule reconstruction must be performed as an entire esthetic unit and must address all three layers – skin, cartilage and internal lining. Careful planning is fundamental in ensuring good cosmetic results.
Authors and Affiliations
Aurelian Radu Budurca, Teodor Stamate, Mihail Dan Cobzeanu, Angelica Balaur
Keywords
Related Articles
- EP ID EP536252
- DOI 10.1515/rjr-2015-0028
- Views 48
- Downloads 0
Specific features of endoscopic dacryocystorhinostomy – case report
OBJECTIVE. The aim of the study was to evaluate the endoscopic dacryocystorhinostomy (DCR) with some particularities and its advantages over external DCR. MATERIAL AND METHODS. We evaluated 3 female patients (age range 3...
Clinical application of laryngeal electromyography – a point of view
In recent years, the clinical importance of laryngeal electromyography (LEMG) has been recognized. This method of investigation proved itself to be a valuable and indispensable tool regarding voice disorder management an...
Comparative analysis of the data obtained in computerized posturography and videonystagmography for patients with peripheral vestibular deficit
BACKGROUND. Vestibular disorders are a group of widely spread diseases that have as a common denominator the disturbance of the equilibrium system. The assessment of vestibular disorders consists in a complex examination...
The role of nitric oxide in chronic rhinosinusitis
Chronic rhinosinusitis is a very common medical condition that affects nasal and paranasal sinuses mucosa in both adults and children. Its pathology, however, still remains unclear and researchers focus more and more on...
Use of codeine and NSAID combination in rhinogenic headache
Headache is a common complaint which otolaryngologists frequently have to evaluate and treat in practice. Migraine, tension, cluster and sinus-rooted headaches are the most confronted ones in primary visits. Therefore, c...