TY - JOUR
T1 - Total nasal reconstruction
T2 - Utility of the free radial forearm fascial flap
AU - Winslow, Catherine P.
AU - Cook, Ted A.
AU - Burke, Alan
AU - Wax, Mark K.
PY - 2003
Y1 - 2003
N2 - Background: Total nasal defects present daunting challenges to the reconstructive surgeon. The nasal skeleton can be successfully fabricated with bone and cartilage. Reconstruction of the nasal skin with a forehead flap produces an excellent color match for nasal skin. Resurfacing of the internal lining is the most difficult of the 3 layers. Local tissue is often unsatisfactory in amount and/or vascular supply. Methods: A patient requiring total nasal reconstruction was prospectively examined. Intraoperative technique was recorded, and postoperative function was determined. Results: A paramedian forehead flap was used to resurface the external defect. Split calvarium and conchal cartilage were used to reconstruct the nasal skeleton. A fascial flap harvested from the forearm was used to replace the intranasal lining. Turbinate grafts were placed to line the flap. Postoperative breathing was excellent. Conclusions: The intranasal portion of a total nasal defect can be successfully reconstructed with a fascial forearm flap. Placement of a turbinate or mucosal graft allows for a thin mucosalized lining with an excellent functional outcome.
AB - Background: Total nasal defects present daunting challenges to the reconstructive surgeon. The nasal skeleton can be successfully fabricated with bone and cartilage. Reconstruction of the nasal skin with a forehead flap produces an excellent color match for nasal skin. Resurfacing of the internal lining is the most difficult of the 3 layers. Local tissue is often unsatisfactory in amount and/or vascular supply. Methods: A patient requiring total nasal reconstruction was prospectively examined. Intraoperative technique was recorded, and postoperative function was determined. Results: A paramedian forehead flap was used to resurface the external defect. Split calvarium and conchal cartilage were used to reconstruct the nasal skeleton. A fascial flap harvested from the forearm was used to replace the intranasal lining. Turbinate grafts were placed to line the flap. Postoperative breathing was excellent. Conclusions: The intranasal portion of a total nasal defect can be successfully reconstructed with a fascial forearm flap. Placement of a turbinate or mucosal graft allows for a thin mucosalized lining with an excellent functional outcome.
UR - http://www.scopus.com/inward/record.url?scp=0038546469&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0038546469&partnerID=8YFLogxK
U2 - 10.1001/archfaci.5.2.159
DO - 10.1001/archfaci.5.2.159
M3 - Article
C2 - 12633204
AN - SCOPUS:0038546469
SN - 1521-2491
VL - 5
SP - 159
EP - 163
JO - Archives of Facial Plastic Surgery
JF - Archives of Facial Plastic Surgery
IS - 2
ER -