Nasal Alar Full-Thickness Defects as Reconstructed by Folded Nasolabial Flap. | ||
| Minia Journal of Medical Research | ||
| Article 39, Volume 30, Issue 3, July 2019, Pages 195-198 PDF (285.95 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2022.221926 | ||
| Authors | ||
| Ahmed M. Mohammed; Nasser Z.; Ahmed A. Mohamed Abdullah | ||
| Department of General Surgery, El-Minia Faculty of Medicine | ||
| Abstract | ||
| Introduction: The reconstruction of full-thickness alar wounds often requires multiple challenging surgical procedures. These procedures, although often functionally and aesthetically successful, are often staged, and they therefore introduce operative risks, significant investments of surgeon and patient time, and extraordinary costs. Aim of the work: to evaluate the use of the folded nasolabial flap for reconstruction of nasal alar full thickness defects. Patients and methods: Ten patients had post-ablative or post-traumatic nasal alar full thickness defects included in this study for surgical reconstruction by folded nasolabial flap. Patients were admitted to The Plastic Surgery department of Minia University Hospital from October 2018 till June 2019. The flap designed as a superiorly based nasolabial flap immediately, after flap elevation primary thinning was done and the distal end of the flap folded upon itself. The flap donor site was primarily closed. Results: This procedure was successful in 9 patients by complete survival of the flaps without evidence of necrosis or narrowing of airways, Only one case had bulky flap and alar retraction and needed redo by flap debulking and septal cartilage graft insertion. Conclusion: In distinction to the multiple operative procedures required to replace the missing tissues of the ala, this folded nasolabial flap offers a single-stage alar reconstruction. | ||
| Keywords | ||
| nasal alar; skin tumor; nasolabial flap. | ||
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