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Refinement of Nasal Reconstruction with a V/Y-alar-perforator Flap

Identifieur interne : 000229 ( Main/Exploration ); précédent : 000228; suivant : 000230

Refinement of Nasal Reconstruction with a V/Y-alar-perforator Flap

Auteurs : Dominik L. Feinendegen ; Martin F. Langer ; J. Camilo Roldán

Source :

RBID : PMC:5293295

Abstract

Background:

The ala of the nose is vascularized by a dense net of perforators originating from the lateral nasal artery or the angular artery. These vessels reach the ala in a cascade fashion from the alar groove/lateral nasal wall. Based on these vessels, a V/Y flap can be dissected with a wide range of mobility.

Materials and Methods:

Nineteen patients underwent reconstruction of the nose by means of a V/Y-alar-perforator flap alone or in combination with a myocutaneous rotation flap from the lateral nasal wall and/or from the nasal dorsum for reconstruction of defects at the nasal tip, ala of the nose, and/or lateral nasal wall. All patients were followed up 8 months after surgery in average.

Results:

There was no prolonged congestion or any tissue loss. All patients presented postoperatively with excellent aesthetic results, and no nasal distortion was observed.

Conclusion:

The V/Y-alar-perforator flap alone or in combination with a myocutaneous rotation flap proved to be a reliable tool in the armamentarium for reconstruction of nasal tip and alar defects providing good aesthetic results.


Url:
DOI: 10.1097/GOX.0000000000001195
PubMed: 28203497
PubMed Central: 5293295


Affiliations:


Links toward previous steps (curation, corpus...)


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<p>The ala of the nose is vascularized by a dense net of perforators originating from the lateral nasal artery or the angular artery. These vessels reach the ala in a cascade fashion from the alar groove/lateral nasal wall. Based on these vessels, a V/Y flap can be dissected with a wide range of mobility.</p>
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<title>Materials and Methods:</title>
<p>Nineteen patients underwent reconstruction of the nose by means of a V/Y-alar-perforator flap alone or in combination with a myocutaneous rotation flap from the lateral nasal wall and/or from the nasal dorsum for reconstruction of defects at the nasal tip, ala of the nose, and/or lateral nasal wall. All patients were followed up 8 months after surgery in average.</p>
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<p>There was no prolonged congestion or any tissue loss. All patients presented postoperatively with excellent aesthetic results, and no nasal distortion was observed.</p>
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<p>The V/Y-alar-perforator flap alone or in combination with a myocutaneous rotation flap proved to be a reliable tool in the armamentarium for reconstruction of nasal tip and alar defects providing good aesthetic results.</p>
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