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
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- EP ID EP536252
- DOI 10.1515/rjr-2015-0028
- Views 53
- Downloads 0
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