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Статті в журналах з теми "Nasal defect"

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Автор: Grafiati

Опубліковано: 30 травня 2022

Оновлено: 31 травня 2022

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1

Brajesh, Vimalendu, Aditya Aggarwal, Sukhdeep Singh, Vishal Vora, and Kanika Rana. "Single Stage Nasal Reconstruction in a Near Total Nasal Defect." Indian Journal of Plastic Surgery 53, no. 03 (December 2020): 431–34. http://dx.doi.org/10.1055/s-0040-1721858.

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Abstract Reconstruction of nasal defect is difficult and challenging. A full-thickness defect of nose requires reconstruction of thin inner lining, middle skeletal (bony/cartilaginous) support, and outer skin layer cover. Large full-thickness defects of nose require complex multistage reconstruction to achieve good functional and aesthetic result. We present here a case of 12-year-old boy, a known case of xeroderma pigmentosa, who underwent wide local excision for squamous cell carcinoma of the nose, leaving a near total defect of the external nose. The reconstruction was done with a suprafascial, thin radial artery forearm free-flap for the external cover as well as the inner lining along with the septal cartilage graft for skeletal support in a single stage.

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2

Ionita, Sabina, and Ioan Lascar. "Clinical study regarding nasal reconstruction methods." Romanian Journal of Rhinology 5, no. 17 (March 1, 2015): 37–44. http://dx.doi.org/10.1515/rjr-2015-0005.

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Анотація:

Abstract BACKGROUND. In present days, there are described many reconstruction techniques for nasal post-traumatic and post-excision total defects, from simple suture to microsurgical free transfer in nasal reconstruction. It is important to follow the defect dimensions, its topography and also its etiology. The nasal aesthetic subunits principle is very important in aesthetic and functional reconstruction of a nasal defect. MATERIAL AND METHODS. The clinical study from this paper was realised on the patients admitted in the Department of Plastic and Reconstructive Surgery of the Emergency Clinical Hospital from Bucharest, between 2012 and 2013. Different determinant factors were studied for the success of nasal reconstruction. It was compared the difference between the reconstruction of the whole nasal subunit, based on aesthetic subunits principle, and the reconstruction of the defect. RESULTS. Although in our clinic the reconstruction of the defect is used in the majority of the cases and rarely the reconstruction based on aesthetic subunits principle, very good results were obtained, with a reduced number of complication and very few relapses. CONCLUSION. The success of the reconstruction depends on multiple factors regarding the type of the defect. The grafts can give very good results in all aesthetic subunits, while the nasogenian flap has good results for the reconstruction of the nasal wing and lobule defects. The frontal flap is the first option for reconstruction of the dorsum nasi with satisfactory results. This paper is supported by the Sectoral Operational Programme Human Resources Development (SOP HRD), financed from the European Social Fund and by the Romanian Government under the contract number POSDRU/159/1.5/137390

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3

Shelikhovskaia, Mariia A., Fedor A. Syroezhkin, Vasily P. Tipikin, Ksenia V. Vinichenko, Alexandra V. Kulish, and Sofya V. Kovtun. "Allografts for surgery in the closure of nasal septal intraoperative defects." Aspirantskiy Vestnik Povolzhiya 20, no. 1-2 (December 10, 2020): 37–43. http://dx.doi.org/10.17816/2072-2354.2020.20.1.44-48.

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Surgical correction of the deviation of nasal septum is the most frequently performed surgical interventions in Otorhinolaryngology departments. Sometimes such operations can be complicated by an intraoperative defect in the nasal septum, which is not always possible to close with autogenous tissue. Thats why it has become important to use new allogenic transplant materials in the treatment of these defects. The purpose of the study was to evaluate the effectiveness of allografts (allogeneic fascia and allogenic cartilage treated by Alloplant technology) in closure of intraoperative defects of the nasal septum. The treatment was performed to 40 patients aged 2455 who developed defect of the mucous membrane of the nasal septum during the operation for nasal spetum deviation. Patients were randomly divided into two groups of 20 people. The 1st group included patients whose allogenic transplantat materials were used in addition to their own tissues during the closure of the defect. The 2nd group consisted of patients whose autogenous tissues were used during the operation. The data of functional state of the nasal mucosa and the anatomical integrity of the nasal septum of all patients before treatment, one month and one year after the treatment were checked and compared. It was revealed that allografts (allogenic fascia and allogenic cartilage treated by Alloplant technology) demonstrated an anti-inflammatory effect, and their use in closing of intraoperative defects of the nasal septum is more effective. This procedure also accelerates improvement of the functional activity of the nasal mucosa in comparison with the use of autogenous tissues solely.

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4

Nagaraj, E., PrasadD Krishna, and Manoj Shetty. "Definitive magnetic nasal prosthesis for partial nasal defect." Indian Journal of Dental Research 22, no. 4 (2011): 597. http://dx.doi.org/10.4103/0970-9290.90309.

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5

Shelesko, E. V., N. A. Chernikova, Yu V. Strunina, S. D. Nikonova, V. A. Okhlopkov, A. D. Kravchuk та N. V. Malevanaya. "Анализ компьютерных томограмм для разработки дифференцированного подхода к пластике дефектов крыши решетчатого лабиринта". Russian Otorhinolaryngology 21, № 1 (2022): 74–84. http://dx.doi.org/10.18692/1810-4800-2022-1-74-84.

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Study of the images before surgery in order to analyze the individual characteristics of the anatomy is the key to a successful surgery. Materials and Methods: Analysis of computed tomography data of 43 patients with defects in the ethmoid roof operated from 2010 to 2020 at the Burdenko National Medical Research Center for Neurosurgery. Patients were divided into two groups according to the localization of the defect and relapses. Results. With anterior defects, the angle between the line drawn through the nasal dorsum and the perpendicular drawn through the center of the defect to the bottom of the cavity is sharper than with posterior ones, p < 0.001. The height from the bottom of the nasal cavity to the ethmoid roof was greater with anterior defects than with posterior defects (p = 0.011). The height from the bottom of the nasal cavity to the cribriform plate with anterior defects is greater than with posterior ones (p = 0.006). When analyzing the ratio of the height of the middle turbinate and the distance from the septum to the orbit and when determining the length of the lattice roof anteriorly or posteriorly from the basal lamella, depending on the location of the defect with the length of the middle turbinate, it was found that the differences were statistically significant (p < 0.05). Conclusions. The posterior parts of the ethmoid roof are more likely to develop iatrogenic defects due to their lower location in relation to the bottom of the nasal cavity. For the correct choice of optics and instruments, the angle between the line drawn through the nasal dorsum and the perpendicular drawn through the center of the defect to the bottom of the nasal cavity matters. A middle turbinate flap can be used to seal both anterior and posterior ethmoid roof defects. The anatomical features of the ethmoid roof do not affect the incidence of relapses.

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6

Shastri, Karthik S., Yufan Lin, Jessica Scordino, and Carlos D. Pinheiro-Neto. "Composite Cartilage-osseous-mucosal Nasoseptal Flap for Reconstruction after Near Total Rhinectomy." Annals of Otology, Rhinology & Laryngology 130, no. 1 (June 24, 2020): 98–103. http://dx.doi.org/10.1177/0003489420935481.

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Анотація:

Background: Reconstruction of full thickness nasal defects usually requires different donor sites for the external skin envelope, structural elements, and internal nasal lining. In this paper we present a novel single site method for dual inner lining and skeleton repair for full thickness nasal defects with a composite nasoseptal flap and extended pedicle dissection. Methods: A 72-year-old male presented with a T4b melanoma involving the nasal dorsum and left upper lateral cartilage. Following full thickness resection, reconstruction was performed with a nasoseptal flap (NSF) with attached septal cartilage and vomer in conjunction with a paramedian forehead flap. Extended pedicle dissection into the pterygopalatine fossa allowed the NSF to fully cover the defect. Results: The nasal defect was fully corrected. There was no evidence of flap compromise or nasal valve stenosis at 1 month, 2 month, and 1 year follow-up visits. Conclusions: We present here the first successful application of a composite cartilage-osseous-mucosal NSF for multilayered nasal reconstruction. In appropriate patients, this technique may obviate the need for flaps or grafts from extranasal sources, limiting donor site morbidity.

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7

Herlong, J. R. "Cryopreservation of cystic fibrosis nasal epithelium." Proceedings, annual meeting, Electron Microscopy Society of America 46 (1988): 88–89. http://dx.doi.org/10.1017/s0424820100102523.

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Cystic fibrosis (CF) is the most common lethal genetic disease which affects Caucasians. The respiratory system is almost universally affected in CF patients, and the basic defect in this organ system as well as in others appears to be an abnormality of the regulation of chloride ion transport; the transport of other ions may also be either primarily or secondarily affected. Both the nasal mucosa and the lower respiratory tracts of CF patients exhibit this defect, but the nasal mucosa is free of the infectious complications common in the lower tract regions. Electron probe x ray microanalysis (EPXMA) promises to be a useful tool in the investigation, at the cellular and subcellular levels, of this ion transport defect as well as possible defects in the transport of other ions. This report documents the development of techniques for obtaining well-preserved cryosections of human nasal mucosa which are suitable for subsequent EPXMA.

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8

Başağaoğlu, Berkay, Kausar Ali, Pierce Hollier, and Renata Maricevich. "Approach to Reconstruction of Nasal Defects." Seminars in Plastic Surgery 32, no. 02 (May 2018): 075–83. http://dx.doi.org/10.1055/s-0038-1642639.

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AbstractThe nose is the most central and anterior projecting facial feature. Therefore, the presence of a defect is easily noticeable to the untrained eye. Return of the defect to the original form is an achievable end goal of reconstruction, necessitating appropriate reformation of three-dimensional geometry, proper establishment of symmetry, and excellent color and texture match to the adjacent structures. Regarding its physiological importance, disruption of the normal function may cause respiratory obstruction and contribute to patient distress. To achieve successful repair, preoperative preparation must consider the location, the layers involved, and the size of the defect. Prompt and well-organized repair minimizes the occurrence of progressive necrosis and severe late-stage deformity. Here the authors provide a framework to approach various nasal defects and provide a review of the novel ideologies and techniques. The workhorse of nasal repair, the forehead flap, is discussed independently due to the breadth of innovation.

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9

Lindsey, William H., David A. Franz, James S. Toung, Scott D. London, and Roy O. Ogle. "A Nasal Critical-Size Defect." Archives of Otolaryngology–Head & Neck Surgery 124, no. 8 (August 1, 1998): 912. http://dx.doi.org/10.1001/archotol.124.8.912.

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10

WAHID, FAZAL I., ADIL KHAN, and IFTIKHAR AHMAD KHAN. "RECONSTRUCTION OF NASAL ALAR DEFECT;." Professional Medical Journal 19, no. 05 (October 8, 2012): 730–34. http://dx.doi.org/10.29309/tpmj/2012.19.05.2332.

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Анотація:

Objective: To assess the outcome of nasolabial flap for ala plasty in patients with alar defect. Design: Descriptive study.Setting: Department of E.N.T, Head & Neck Surgery Postgraduate Medical Institute (PGMI) Lady Reading Hospital (LRH) Peshawar. Period:January 2006 to December 2007. Material & Methods: In this study we included 35 patients. A detailed history and thorough physicalexamination regarding general condition of the patient and specifically E.N.T of the patient with emphasis on the alar soft tissue deformity, bothfrom cosmetic and functional aspect was recorded on preformed proforma. Pre-operative and post-operative photographs were taken aftertaking written consent from all the patients. All procedures were carried out under local infiltrative anesthesia and were covered by intravenousprophylactic antibiotics. These patients were followed at one month, six month and one year intervals. Result: Our study included 35 patients ofnasal ala plasty with superiorly based nasolabial flap. Out of 35 patients 26 (74.29%) were males and 9 (25.71%) were female with female tomale ratio of 1:2.8. Males dominated nasal deformity as males are more exposed to trauma. Average age in males was 47 years (range 24-70years) and in females it was 48.5 years (range 27-70 years). The patients presented with nasal alar deformity in the age range from 25 to 70years, while 19 patients (54.28%) presented during 31 to 50 years of age. Trauma was dominated (n=28, 80%) among the causative factors foralar soft tissue loss in these 35 patients. Twenty-eight (80.00%) patients were fully satisfied both cosmetically and functionally, 04 patients(11.42%) were partially satisfied only cosmetically and 03 patients (8.57%) were not satisfied with their nasal cosmetic improvement andfunctional results. Conclusions: Nasal ala plasty with superiorly based nasolabial flap provide good cosmetic result with minimalcomplications.

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11

Todorović, Ana, Igor Đorđević, Vitomir Konstantinović, Danica Popović, and Vojkan Lazić. "Implant retained nasal epithesis – case report." Stomatoloski glasnik Srbije 64, no. 2 (June 1, 2017): 94–99. http://dx.doi.org/10.1515/sdj-2017-0010.

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Summary Nasal defects can occur as a result of head and neck trauma, or due to partial or complete ablation or resection of the tumor in the nasal area and surroundings. Smaller defects can be reconstructed surgically while large defects are mainly reconstructed combined surgically and prosthetically. The aim of this paper was to present prosthetic reconstruction of the nasal defect by colored vinyl polysiloxane prosthesis retained with craniofacial basal disc implants. An adequate aesthetics and stability of the prosthesis was achieved during mandible and mimic muscles movements.

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12

Kashmoola, S., and TF Tengku Mohd Ariff. "Prosthetic Management of Unfavourable Nasal Defect: A Case Report." Compendium of Oral Science 8, no. 1 (September 1, 2021): 89–96. http://dx.doi.org/10.24191/cos.v8i0.17486.

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Introduction: Facial defects can affect the appearance of an individual, resulting in psychological and social problems. In certain cases, surgical reconstruction of facial defects may not be feasible and prosthodontic rehabilitation may be the best option. Case description: A 72-years old gentleman was referred for the rehabilitation of a facial defect on the right side of his nose. The defect was affecting him psychologically and socially. The decision was made to construct a nasal prosthesis for him that would be retained by desirable undercuts and adhesive. Discussion: Management of facial defects are challenging due to multiple reasons such as matching of the prosthesis to surrounding skin and retention of the prosthesis. The prosthesis can be retained with implants, facial accessories, desirable undercuts, or adhesives. For this patient, the prosthesis was retained by using undercuts combined with medical-grade adhesive. A thin layer of flash at the edges of the prosthesis was maintained to ensure even finish margin. The prosthesis fabrication successfully resolved the patient’s condition.

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13

ISMAGILOV, SH M., M. N. GILYALOV, L. I. SALIMOV, and R. M. NURSAITOVA. "Plastic of the nasal septum defect." Practical medicine 19, no. 4 (2021): 163–64. http://dx.doi.org/10.32000/2072-1757-2021-4-163-164.

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Perforation of the nasal septum (PNS) is a voluminous defect consisting of the total absence of all layers of its tissues. The nasal septum is a plate of cartilaginous, bone and connective tissue with varied physical characteristics; they differ in elasticity, resistance, and restoration after traumas. The article presents the results of the transnasal endoscopic method of plastic repair of nasal septum perforations.

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14

Palamar, Orest, Andriy Huk, Dmytro Okonskyi, Ruslan Aksyonov, and Dmytro Teslenko. "Subcranial surgery of nasal CSF leak, endoscopic capabilities." OTORHINOLARYNGOLOGY, no. 1-2(3) 2020 (May 28, 2020): 26–30. http://dx.doi.org/10.37219/2528-8253-2020-1-26.

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Introduction: The problem of choosing surgical approach in the treatment of CSF leak is the subject of discussion depending of the location and the size of the bone defect of the skull base. Materials and methods: 37 patients with nasal CSF leak were treated. In 17 cases, nasal CSF leak was caused by meningo(encephalo)cele. Spontaneous nasal cerebrospinal fluid occurred in 14 cases. In 3 cases, nasal CSF leak was the result of traumatic brain injury (in one case, the cause of nasal CSF leak was post-traumatic meningoencephalocele of the frontal sinus); in the other 3 cases there was postoperative wound nasal cerebrospinal fluid. Results and discussion: Groups of patients were formed depending on the use of vascularized or moved (free) flaps: 1). Multilayer plastics of bone defects of the anterior and middle cranial fossae using displaced (free) flaps. 2). Multilayer plastic of bone defects of the anterior and middle cranial fossa using a nasoseptal flap or middle nasal concha on the leg. In all cases (100%) nasal CSF leak was eliminated. External lumbar drainage was performed in 6 patients and only in cases where the plastic of the bone defect was performed by displaced free flaps. Conclusions: 1). The use of endoscopic endonasal techniques is a minimally invasive method to close skull base bone defects (including large – more than 20 mm) in the area of the anterior and middle cranial fossae. 2). Subcranial approaches are expedient, effective and technically more convenient for nasal CSF leak defects of the frontal sinus and defects in the anterior cells of the etmoid bone.3). Vascularized flaps is expedient for plastic at middle (11-20 mm) and big (more than 20 mm) bone defects of skull base.

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15

Mohindra, Satyawati, Sandeep Mohindra, and Sourabha Kumar Patro. "Successful Endoscopic Endonasal Repair of Nasal Meningoencephalocele in a 21-Day-Old Neonate." Allergy & Rhinology 6, no. 2 (January 2015): ar.2015.6.0121. http://dx.doi.org/10.2500/ar.2015.6.0121.

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Introduction Indications of surgical intervention in congenital nasal meningoencephaloceles includes presence of cerebro spinal fluid rhinorrhea having a risk of causing meningitis, episodes of prior meningitis and bilateral nasal obstruction causing respiratory difficulty in these obligate nasal breathers. Many authors would like to wait till the patient attains the age of 2 to 3 years for repair of the defect due to surgical feasibility. However, early intervention prevents further episodes of meningitis in the future. We present the youngest patient of nasal meningoencephalocele successfully repaired via endoscopic approach. Case Report A 21 days old neonate was referred to us with a nasal meningoencephalocele with active cerebrospinal fluid rhinorrhoea. Radiological investigation showed a cribriform plate defect on the right side. Repair was done by endoscopic route by multi-layered closure of the defect which was augmented with a mucoperichondrial flap from the septum. Patient was asymptomatic in the post-operative follow up period and did not have any episode of meningitis till date. Conclusion Early repair by transnasal endoscopic route is a feasible surgical option for congenital anterior skull base defects with meningoencephaloceles to prevent further episodes of meningitis. This is feasible even in the neonatal period due to improved technique and instrumentation now available for endoscopic nasal surgeries.

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16

Lu, Guanning, J. Kriet, and Clinton Humphrey. "Local Cutaneous Flaps in Nasal Reconstruction." Facial Plastic Surgery 33, no. 01 (February 2017): 027–33. http://dx.doi.org/10.1055/s-0036-1597982.

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AbstractFacial plastic surgeons use a variety of reconstruction techniques to overcome challenges in restoring the function, structural integrity, and intricate nasal contour in nasal reconstruction. Local cutaneous flaps provide excellent skin texture, thickness, and color match in nasal reconstruction. They offer an excellent cosmetic appearance for small- to medium-sized defects and are preferentially utilized when feasible. This article aims to provide an updated review of local cutaneous flaps for nasal defect repair and describe the major principles related to flap selection.

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17

Arora, Viresh, Faisal Ashfaq, and Atif Rafique. "Is reconstruction of composite defects of nose and cheek following tumor excision utilizing subunit principle the best?" International Journal of Otorhinolaryngology and Head and Neck Surgery 7, no. 5 (April 23, 2021): 721. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20211563.

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<p class="abstract"><strong>Background:</strong> Composite defects of nose and cheek are best stage reconstructed with separate nose and cheek flaps to recreate a blended nose-cheek junction, achieved by cheek advancement flap for cheek and forehead flap or local grafts for the nasal defect. This article analyses whether reconstruction of defects utilizing well-known subunit principle is cosmetically the best?</p><p class="abstract"><strong>Methods:</strong> Case records of fifteen patients of nasal cancers extension into the cheek from January 2011 to December 2015 were analyzed retrospectively.</p><p class="abstract"><strong>Results:</strong> Out of fifteen patients 8 were men and 7 women, two patients had SCC, rest had BCC. Average size of defect was 4.5 cm. Modified Imre’s cheek advancement flaps was used in all to reconstruct cheek defects while paramedian forehead flap was used for nasal reconstruction in 13 patients, skin graft and nasal advancement flap in one each. Eight patients underwent single stage reconstruction while seven with full thickness nasal defects had a delayed reconstruction. 13 patients rated their final appearance as satisfactory, while surgeon rated 12 patients with well-blended nose-cheek junction as satisfactory and lateral migration of junction being unsatisfactory. Alar retraction was observed in two patients with full thickness nasal defects. Two patients who underwent inner nasal lining reconstruction developed wound dehiscence while simultaneous reconstruction of nose and cheek was performed.</p><p class="abstract"><strong>Conclusions:</strong> Subunit principle application for composite nose and cheek results in symmetrical nose-cheek junction and appears excellent technique in achieving a satisfactory aesthetic outcome. Optimal results in full thickness nasal defects are achieved where reconstructing is delayed.</p>

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18

Kao, Katherine, Collin Chen, Jennifer Gross, Samuel Hahn, John Chi, Gregory Branham, and Joseph Zenga. "Titanium Mesh Nasal Repair without Nasal Lining." Facial Plastic Surgery 33, no. 01 (February 2017): 052–57. http://dx.doi.org/10.1055/s-0036-1593747.

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AbstractThe objective of this study was to describe outcomes for patients who underwent titanium mesh reconstruction of full-thickness nasal defects without internal lining repair. This is a retrospective cohort study. Patients with through-and-through nasal defects were identified at a single academic institution between 2008 and 2016. Nasal reconstruction was performed with either titanium mesh and external skin reconstruction without repair of the intranasal lining or traditional three-layer closure. Five patients underwent titanium mesh reconstruction and 11 underwent traditional three-layer repair. Median follow-up was 11 months (range, 2–66 months). The only significant difference between groups was older age in patients undergoing titanium reconstruction (mean, 81 vs. 63 years; difference of 18; 95% confidence interval [CI], 4–32 years). Defect extent including overall size and structures removed was similar between groups (p > 0.05). Paramedian forehead flap was the most common external reconstruction in both groups (100% for titanium mesh and 73% for three-layer closure). Time under anesthesia was significantly shorter for titanium mesh reconstruction (median, 119 vs. 314 minutes; difference of 195; 95% CI, 45–237). Estimated blood loss and length of hospital stay were similar between groups (p > 0.05). Complication rates were substantial although not significantly different, 40 and 36% in titanium and three-layer reconstruction, respectively (p > 0.05). All patients with complications after titanium reconstruction had prior or postoperative radiotherapy. Titanium mesh reconstruction of through-and-through nasal defects can successfully be performed without reconstruction of the intranasal lining, significantly decreasing operative times. This reconstructive technique may not be suitable for patients who undergo radiotherapy.

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19

Laun, Jake, and Julian Pribaz. "637 Free Abdominal Tissue Transfer and Utilization of the Umbilical Stalk for “Tubular” Reconstruction in Ear, Nose and Throat Defects: A Case Series." Journal of Burn Care & Research 42, Supplement_1 (April 1, 2021): S174—S175. http://dx.doi.org/10.1093/jbcr/irab032.287.

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Abstract Introduction Head and neck defects, whether from burns or cancer resections, are complex and often require free flap reconstruction. Radial forearm and anterolateral thigh (ALT) flaps are commonly used due to their thin and versatile nature. However, abdominal based free tissue transfer is one valuable alternative that can cover large defects and may become a more appropriate option on the reconstructive ladder when the defect includes reconstruction of a tubular structure, such as the external auditory canal, a neck tracheostomy/stoma site or an external nasal opening. We present a novel utilization of abdominal free tissue transfer for coverage of large ear and scalp burn defects as well as neck and midface defects with usage of the umbilical stalk for tubed reconstruction. Methods Four patients presented for reconstruction: two patients had sustained large ear and scalp burns resulting in complete ear loss; one had a large neck defect resulting from recurrent cancer resection which necessitated a laryngectomy and stoma creation; and one patient had a large central face defect post-cancer resection. All four patients underwent an abdominal based free tissue transfer with reconstruction of the external auditory canal in the ear and scalp burns, stoma creation in the neck defect, and the external nasal opening in the central face defect, all utilizing the vascularized umbilical stalk for the tubed reconstruction. Results All patients recovered post-operatively without any reported complications such as tubular stenosis or contracture while maintaining umbilical stalk tubular patency. Conclusions Reconstruction of a tubed structure in head and neck defects, whether the external auditory meatus, an external nasal opening or a neck stoma post burn or cancer resection, can be a difficult and challenging operation fraught with potential complications. We present a novel method of reconstruction of large defects employing the use of the uniquely thin and vascularized umbilical stalk for tubular reconstruction.

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20

Kumar L.K, Surej, and Varun Menon P. "Bilobed Flap in Reconstruction of Nasal Defect." Journal of Clinical Case reports and Images 1, no. 3 (May 24, 2019): 7–12. http://dx.doi.org/10.14302/issn.2641-5518.jcci-19-2816.

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Basal cell carcinoma (BCC) is the most common type of skin cancer, which arises from the basal layer of the epithelium. It is a slow growing tumor and has a low metastatic potential, it accounts for 70–80% of all cutaneous malignancies in the head face and neck region .Defects near nasal tip and ala of the nose are one of the most difficult site to cover in a single stage, bilobed flap is reported to be used very effectively to close the defect in these areas. This article reports a case of basal cell carcinoma involving the ala of the nose which was excised and the reconstruction was done using bilobed flap.

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21

Jeong, Minkyoung, Dongkeun Jun, Jeenam Kim, Hyungon Choi, Donghyeok Shin, Jaehoon Cho, Youngchang Lim, and Myungchul Lee. "Reconstruction of a large nasal defect using a folded forehead flap: a case report." Archives of Aesthetic Plastic Surgery 28, no. 1 (January 31, 2022): 40–43. http://dx.doi.org/10.14730/aaps.2021.00311.

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Анотація:

Forehead flaps are widely used to reconstruct nasal defects. The authors report a case wherein a folded forehead flap was used to reconstruct a large nasal defect after wide excision of squamous cell carcinoma. A 65-year-old man was diagnosed with squamous cell carcinoma by a punch biopsy conducted at the dermatology department, and the mass was located in the left nasal vestibule. A forehead flap was planned to cover the full-thickness defect that occurred after wide excision. A flap with an extended transverse skin paddle was designed; thereafter, the distant part of the flap was folded up to the nasal lining inside the nose. The interpolation flap was properly maintained for 3 weeks, and flap division was performed. The reconstructed nose exhibited symmetry during a 5-month observation period. A folded forehead flap is a surgical option when considerable nasal restoration, including soft tissue and the internal lining, is necessary.

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22

Veselova, K. A., I. N. Antonova, and N. V. Gromova. "Total nasal defect reconstruction with nasal prosthesis. Two case reports." Stomatologiya 100, no. 4 (2021): 98. http://dx.doi.org/10.17116/stomat202110004198.

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23

Andrade, Pedro, David Serra, José Carlos Cardoso, Ricardo Vieira, and Américo Figueiredo. "Melolabial fold interpolated flap for reconstruction of complex nasal defects." Anais Brasileiros de Dermatologia 87, no. 5 (October 2012): 762–65. http://dx.doi.org/10.1590/s0365-05962012000500016.

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Анотація:

Complex surgical nasal defects are often technically difficult. We report the case of a 71-year old male diagnosed with a malignant melanoma (animal type; Breslow 1.5; Clark IV) on the right nasal ala. Radial excision with margins of approximately 1.5cm was performed, creating a complex full-thickness surgical defect involving the free wall and margin of the right nasal ala, the right soft triangle, nasal lobe and columella, which was reconstructed using a melolabial interpolated flap, with highly satisfactory final esthetic result. Interpolated flaps are viable surgical options for the reconstruction of surgical defects for which local flaps and skin grafts are not suitable.

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Mignogna, Frank V., and Kenneth F. Garay. "“Split” Umbrella Onlay Grafts for the Correction of Upper Lateral Cartilage Defects." American Journal of Cosmetic Surgery 11, no. 3 (September 1994): 217–25. http://dx.doi.org/10.1177/074880689401100312.

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Анотація:

Multiple techniques have been proposed to correct cartilaginous asymmetries and defects in the nasal pyramid. Some have proven to be more successful maneuvers than others. Among the more successful are the septal—upper lateral spreader grafts popularized by Sheen. However, some upper lateral defects have proven to be incompletely correctable by this technique. This is especially the case in secondary rhinoplasty, where excessive upper lateral cartilage may have been initially resected, resulting in a step-off defect vis-a-vis the nasal bone and a depression lateral to the dorsal profile, frequently associated with a defect in the nasal valve. “Split” umbrella onlay grafts have proven to be a successful technique to correct these defects in our hands in over 350 cases performed from 1987 through 1992. Morselized alar or septal cartilage was employed to correct upper lateral defects in the primary rhinoplasty group. Contoured auricular cartilage grafts proved to be more successful in the secondary rhinoplasty or the badly traumatized nose. Valvular competence was maintained or improved in all cases. This easily performed technique is deserving of more widespread application.

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Moratin, Katharina, Philipp-Sebastian Koch, Johannes Benecke, Azadeh Orouji, Corinne Bauer, Jörg Faulhaber, Wolfgang Koenen, and Moritz Felcht. "Reconstruction of Nasal Defects With Dermal Skin Substitutes—A Retrospective Study of 36 Defects." Journal of Cutaneous Medicine and Surgery 23, no. 4 (June 10, 2019): 413–20. http://dx.doi.org/10.1177/1203475419852060.

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Objectives: It is uncertain whether dermal regeneration templates (DRTs) are helpful to reconstruct nasal defects. The aim of this study was to assess whether the aesthetic subunits determine the outcome. Methods: In this unicentric, retrospective study, the surgical procedures and outcomes of patients who received DRTs to reconstruct nasal defects were assessed and compared with the involved aesthetic subunits. Results: DRTs were used for reconstruction of 36 nasal defects in 35 patients with involvement of 76 aesthetic subunits: nasal sidewall (n = 21), nasal ala (n = 13), nasal tip/columella (n = 12, n = 1, respectively), nasal dorsum (n = 12), and extranasal aesthetic areas (n = 17). Fifty-eight nasal and 8 extranasal aesthetic subunits were reconstructed with DRTs, 10 subunits with a flap. Twenty-nine of 36 defects healed without any complications (80.5%). All reconstructed nasal tips/columella and the nasal dorsa healed without any complications. Region-specific complications were retraction of the ala rim (4/12; 33.3% of the patients with involvement of the nasal ala) and the formation of a fistula in the nasal sidewall (1/21; 4.8%). Region-specific complications of extranasal subunits were the development of an ectropium (2/3; 66.7% of the patients with involvement of the lower lid). Conclusions: DRTs can be helpful to reconstruct nasal defects. However, if the defect involves the aesthetic subunits nasal ala or the infraorbital region, different techniques should be preferred.

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Cannady, Steven B., Ted A. Cook, and Mark K. Wax. "The Total Nasal Defect and Reconstruction." Facial Plastic Surgery Clinics of North America 17, no. 2 (May 2009): 189–201. http://dx.doi.org/10.1016/j.fsc.2009.01.002.

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Goulão, João. "Reconstruction of a large nasal defect." Journal of Dermatological Treatment 25, no. 5 (February 3, 2013): 444–45. http://dx.doi.org/10.3109/09546634.2012.755257.

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Mobley, Steven. "Reconstructing the Extended Nasal Tip Defect." Facial Plastic Surgery 29, no. 05 (September 13, 2013): 429–43. http://dx.doi.org/10.1055/s-0033-1353385.

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Anantharaju, Abhilash, Giridhar Kamath, Pranav Mody, and Deviprasad Nooji. "Prosthetic Rehabilitation of Oro-Nasal Defect." Journal of Indian Prosthodontic Society 11, no. 4 (June 21, 2011): 242–45. http://dx.doi.org/10.1007/s13191-011-0081-x.

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Chaturvedi, Saurabh, Tushar Bhagat, A. K. Verma, Vishwanath Gurumurthy, Mariyam Ali, Preeti Vadhwani, and Mudita Chaturvedi. "Rehabilitation of Nose following Chemical Burn Using CAD/CAM Made Substructure for Implant Retained Nasal Prosthesis: A Clinical Report." Case Reports in Dentistry 2017 (2017): 1–7. http://dx.doi.org/10.1155/2017/2784606.

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Анотація:

Insufficient knowledge of medical chemicals and their improper use have destructive effects. Accidental exposure to chemicals on facial tissue may result in large facial defect. For ages the tradition of piercing nose is common but improper use of unknown chemical for piercing has deleterious effect. Mostly rhinectomy defects are acquired caused by trauma or malignant diseases. Prosthetic rehabilitation is the preferred treatment of choice for any large rhinectomy defects as medical and surgical interventions are ineffective in developing esthetics. Main concern with the prosthesis for such defects is retention. This article describes rehabilitation of a patient with large size nasal defect created by chemical burn in childhood during piercing. Implant retained customized silicone nasal prosthesis was fabricated using simple O-ring attachments and innovative modified polyamide acrylic resin substructure acting as skeleton.

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Nogueira, Joao Flavio, Bradford A. Woodworth, Aldo Stamm, and Maria Laura Silva. "A Primary Clival Defect: Endoscopic Binostril Approach With Nasal Septal Flap Closure and Preservation of Septal Integrity." Ear, Nose & Throat Journal 98, no. 5 (April 8, 2019): E24—E26. http://dx.doi.org/10.1177/0145561319839507.

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Primary spontaneous cerebrospinal fluid (CSF) rhinorrhea is an unusual phenomenon that may occur anywhere along the skull base. However, CSF leaks originating from clival defects are rarely reported in the literature. The majority of reported cases were managed with microscopic techniques, using free grafts. The present study discusses a case of spontaneous CSF rhinorrhea from a clival defect closed with our transnasal operative approach using endoscopic techniques. The skull base defect was successfully managed with an endoscopic binostril approach to create a nasal septal flap pedicled at the sphenopalatine artery, while also preserving the integrity of the nasal septum.

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Hidayat, Rahmat. "OBTURATOR PROSTHESIS TO REHABILIT PALATE AND KENNEDY CLAS III PATIENT." ODONTO : Dental Journal 4, no. 2 (December 1, 2017): 136. http://dx.doi.org/10.30659/odj.4.2.136-142.

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Background: Cleft palate leads to oroantral communication and also malformations of the palate and agenese of teeth adjacent to the defect. Abnormal defect closure was done by replacing the hard, soft tissues and missing teeth using an intraoral maxillofacial prosthesis called obturator. Purpose: Assess the use of prosthetic rehabilitation using frame obturator combination with acrylic resin on patient’s palatum defect to restore esthetic, speech, swallowing, mastication functions.Case: 23 years old male patient with chief complaint palatum defect that cause nasal voice. Intraoral examination revealed a large palate defect in the right of palatum durum segment, also defect on left labial gingiva, and missing teeth in 13, 15, 16, 21, 22, 23, 24, 25, 26, 35, 36, 45, 46.Case Management: Obturator was made to cover defect of palate and replace missing teeth. Impression was taken with hydrocoloid irreversible and gauze that cover the defect to avoid alginate entering nasal cavity. Insertion of obturator showed cleft palate was covered well by frame combination with acrylic resin base. The retention, stabilization and occlusion were good, nasal voice was reduced, defect on left labial gingiva were covered by labial wing.Discussion: Patient was satisfed because nasal voice was reduced, estethic,mastication and swallowing function were restored, also. Patient can clean and use obturator easily.Conclusion: Frame obturator in patient’s palate defect can reduce nasal voice, restore esthetic, swallowing and mastication functions.

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Shelesko, Elizaveta Vladimirovna, Nadezhda Alekseevna Chernikova, Y. V. Strunina, S. D. Nikonova, Arslan Khanbagamaevich Abdulgamidov Arslan Khanbagamaevich Abdulgamidov, Aleksandr Dmitrievich Kravchuk, and Denis Nikolaevich Zinkevich. "Differentiated approach to plastic surgery of cerebrospinal fluid fistulas in the frontal sinus based on the analysis of computed tomograms." Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery), no. 3 (March 18, 2021): 182 (244)—194 (253). http://dx.doi.org/10.33920/med-01-2103-02.

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Анотація:

The choice of the method of plasty of cerebrospinal fluid fistulas in the area of the frontal sinus is an important issue in neurosurgery, since there are a large number of anatomical variations in the structure of the naso-frontal canal and the sinus itself. Endoscopic, combined and transcranial approaches are described in the literature. However, there is no clear algorithm for choosing a surgical approach for nasal liquorrhea based on anatomical features. The objective of this article is to study various anatomical variants of the structure of the frontal sinus and nasolabial pocket in relation to defects of the base of the skull of a given localization and, based on the data obtained, to establish the patterns of the influence of certain indicators on surgical tactics and the quality of plastic to complement the proposed classification. This article include a retrospective analysis of case histories and computed tomograms of 38 patients who underwent surgical treatment for skull base defects in the frontal sinus region from 2010 to 2020. The patients were divided into three groups depending on the approach used, the features of intraoperative visualization of the defect, and relapses. In a series of 38 cases, the endoscopic approach was used in 26 (68.4 %) cases, combined in 12 (31.6 %) cases. The defect was completely visualized using angled optics during surgery in 32 (84.2 %) cases, and in 6 (15.8 %) cases the defect was not visualized or partially visualized (up to 50 %) using angled optics. Relapses were observed in 6 (15.8 %) cases. The main craniometric indicators affecting the choice of surgical tactics and the quality of plastics are the distance from the center of the defect to the nasal septum, the value of the angle between the nasal septum and the line drawn through the edges of the defect, and the size of the defect. The recurrence rate is directly related to the visualization of the defect during surgery. The distance from the defect to the nasal septum can serve as an objective indicator for choosing access to intermediate defects of the frontal sinus: at a distance of more than 0.95 cm, it is advisable to perform a combined approach; at a distance of less than 0.95 cm, it is possible to achieve full visualization of the defect and perform high-quality plastic surgery with an endoscopic approach. English version of the article on pp. 244-253 is available at URL: https://panor.ru/articles/differentiated-approach-in-frontal-sinus-csf-fistula-plasty-based-on-computed-tomogram-analysis/63924.html

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Harrak, S. El, B. Dani, H. Sqalli, S. Ezzaim, D. Jaadi, J. Hafidi, N. Gharib, A. Abbassi, and S. El Mazouz. "Nasal Reconstruction with the 3-step Forehead Flap." Scholars Journal of Medical Case Reports 9, no. 11 (November 6, 2021): 1062–65. http://dx.doi.org/10.36347/sjmcr.2021.v09i11.005.

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Covering the nasal defects represent a difficult challenge for the plastic surgeons, many techniques have been described in the literature but none has given good aesthetic results. In this article, we will describe the case of a patient who has a transfixing nasal defect, reconstructed by the 3-step forehead flap, as used in the department of reconstructive and plastic surgery of the Ibn Sina hospital in Rabat.

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35

Branham, Gregory, and Emily Spataro. "Principles of Nasal Reconstruction." Facial Plastic Surgery 33, no. 01 (February 2017): 009–16. http://dx.doi.org/10.1055/s-0036-1597949.

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AbstractThe rise in cutaneous malignancies over the past 20 years has led to significant advances in reconstructing the nose from an aesthetic and functional standpoint. The principles of nasal reconstruction center on application of the nasal subunit principle, three-layered reconstruction, nasal skin characteristics, and patient factors. Reconstructive planning starts with proper defect analysis, followed by application of the reconstructive ladder for soft-tissue repair, adequate structural support, and repair of nasal lining deficits. Optimal reconstructive methods depend on the location and size of the defect. Finally, refinement of the reconstruction is achieved through dermabrasion, scar revision, and flap thinning techniques.

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36

Hale, Fraser A., Anne M. Sylvestre, and Craig Miller. "The use of a Prosthetic Appliance to Manage a Large Palatal Defect in a Dog." Journal of Veterinary Dentistry 14, no. 2 (June 1997): 61–64. http://dx.doi.org/10.1177/089875649701400201.

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Large defects of the hard palate can result from a congenital abnormality, trauma, or surgical treatment of oral masses. Closure of these defects can be challenging as dehiscence is common. Large, inoperable hard palate defects may be managed with prosthetic obturators, which recreate the separation between the oral and nasal cavities. This report describes the use of a palatal obturator to manage a large palatal defect that persisted after resection of a palatal fibrosarcoma. Three prior attempts at surgical closure of the defect had failed.

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37

Eviatar, Abraham, and David Myssiorek. "Repair of Nasal Septal Perforations with Tragal Cartilage and Perichondrium Grafts." Otolaryngology–Head and Neck Surgery 100, no. 4 (April 1989): 300–302. http://dx.doi.org/10.1177/019459988910000409.

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Indications for repair of nasal septum perforations include excessive crusting, recurrent bleeding, whistling, and pain. Large subtotal perforations usually are less symptomatic, but smaller defects (less than 1 cm) may need repair. Tragal cartilage with perichondrium autograft was used to repair these perforations. After the septal defect was debrided, this free graft was harvested and used to fill the defect. This technique was attempted in ten patients with septal perforations, none secondary to systemic Illnesses. Nine of these patients had successful closure of their perforations.

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38

Bonito, Frederico, André Pinho, Ana Brinca, João Goulão, and Ricardo Vieira. "Tunneled Interpolated Flaps in the Reconstruction of Nasal Defects." Journal of the Portuguese Society of Dermatology and Venereology 79, no. 1 (April 5, 2021): 47–52. http://dx.doi.org/10.29021/spdv.79.1.1314.

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Анотація:

The reconstruction of nasal skin defects is a challenge even for an experienced dermatological surgeon. When the defect is too large or complex to be corrected with simpler flaps, interpolated flaps are a good option, but they usually require two surgeries. Tunneled interpolated flaps were developed to allow the reconstruction of complex defects in only one surgical procedure. In nasal reconstruction, the main tunneled flaps are the paramedian forehead and the melolabial flaps. This review will focus on these two flaps: description of the technique, applications, advantages and disadvantages.

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39

Vanitha, R., K. Ramkumar, G. Rajtilak, and V. Rajasekar. "Designing a Nasal Prosthesis using CAD-RP Technology." International Journal of Prosthodontics and Restorative Dentistry 2, no. 3 (2012): 108–12. http://dx.doi.org/10.5005/jp-journals-10019-1058.

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ABSTRACT A 37-year-old female patient reported to the hospital with a nasal defect due to carcinoma. She was previously restored with nasal prostheses, but was not satisfied with its cosmetic appeal. A computerized tomographic (CT) scan of the defect area was made and converted into 3- dimensional (3D) digital data using dedicated medical imaging software. From the 3D image, measurements of the defect were calculated and compared with various nasal fossa measurements available in the digital database. A 3D nose model which had measurements that closely matched the defect area was extracted and superimposed on the defect area and margins adjusted. The data files were then sent for rapid prototyping (RP). A RP model was fabricated which was duplicated in wax and processed. The final result was a nasal prosthesis that conformed well to the patients’ face and was also esthetically acceptable. The main advantage of computer-aided designing (CAD)-RP is that it allows trying various nasal forms on the patients face within few hours. This saves chair time, eliminates the impression step and provides patient and dentist an option of variety. How to cite this article Vanitha R, Ramkumar K, Rajtilak G, Rajasekar V. Designing a Nasal Prosthesis using CAD-RP Technology. Int J Prosthodont Restor Dent 2012;2(3):108-112.

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40

Jovic, Marko, Milovan Dimitrijevic, Ana Dimitrijevic, and Goran Stojkovic. "Analysis of reconstructive methods in surgical treatment of nasal skin defects." Vojnosanitetski pregled 73, no. 8 (2016): 723–27. http://dx.doi.org/10.2298/vsp140829052j.

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Background/Aim. Surgeons often face with the problem when selecting a reconstructive method for nasal skin defects. The aim of this study was to determine functional and aesthetic character-istics of different reconstructive methods used for skin defects in different regions of the nose. Methods. The study involved 44 patients with basocellular carcinoma in nasal area. The nasal skin was divided into four subunits: the tip, the alar lobules, the side-walls and the dorsum. The average skin defect size was 10 mm in diameter. Local flaps and full thickness skin grafts were used in the study. We analyzed the functional and esthetic results of dif-ferent reconstructive methods used for nasal defects in different regions of the nose 12 months after the surgery. Results. The study shows that different reconstructive methods produce dif-ferent functional and esthetic results in the same nasal subunits and that the same reconstructive method produces different re-sults in different nasal subunits. Conclusions. Estimation the postoperative functional and esthetic characteristics of different reconstructive methods is one of the basic preconditions of suc-cessful reconstruction.

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41

Salgarelli, A. C., P. Bellini, A. Multinu, C. Magnoni, M. Francomano, F. Fantini, U. Consolo, and S. Seidenari. "Reconstruction of Nasal Skin Cancer Defects with Local Flaps." Journal of Skin Cancer 2011 (2011): 1–8. http://dx.doi.org/10.1155/2011/181093.

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Анотація:

Reconstruction of nasal defects must preserve the integrity of complex facial functions and expressions, as well as facial symmetry and a pleasing aesthetic outcome. The reconstructive modality of choice will depend largely on the location, size, and depth of the surgical defect. Individualized therapy is the best course, and numerous flaps have been designed to provide coverage of a variety of nasal-specific defects. We describe our experience in the aesthetic reconstruction of nasal skin defects following oncological surgery. The use of different local flaps for nasal skin cancer defects is reported in 286 patients. Complications in this series were one partial flap dehiscence that healed by secondary intention, two forehead flaps, and one bilobed flap with minimal rim necrosis that resulted in an irregular scar requiring revision. Aesthetic results were deemed satisfactory by all patients and the operating surgeons. The color and texture matches were aesthetically good, and the nasal contour was distinct in all patients. All scars were inconspicuous and symmetrical. No patient had tenting or a flat nose.

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42

Sargent, Larry A., Alan E. Seyfer, and E. Neal Gunby. "Nasal encephaloceles: definitive one-stage reconstruction." Journal of Neurosurgery 68, no. 4 (April 1988): 571–75. http://dx.doi.org/10.3171/jns.1988.68.4.0571.

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✓ Nasal encephaloceles can cause complex deformities of the naso-orbital skeleton. As the encephalocele pushes through a defect in the facial skeleton it causes lateral displacement of the medial orbital walls. Correction of this skeletal deformity is necessary to achieve a normal facial contour. Two examples of nasal encephaloceles are presented and the classification, diagnosis, and treatment of this entity are discussed. The correction of these deformities at an early age is recommended. The suggested method of reconstruction is a combined intracranial and extracranial approach with mobilization of the nasal skeleton and medial orbital walls to their normal position. The remaining defects are treated with bone grafts.

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43

Naraghi, Mohsen. "Dual Graft Reconstruction of Extensive Nasal Defect." Otolaryngology–Head and Neck Surgery 141, no. 2_suppl (September 2009): P36—P37. http://dx.doi.org/10.1016/j.otohns.2009.06.105.

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44

Kaufman, Andrew J. "Repair of Nasal Defect Following Mohs Surgery." Dermatologic Surgery 27, no. 11 (November 2001): 995–97. http://dx.doi.org/10.1046/j.1524-4725.2001.01037.x.

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45

Skaria, A. M. "Repair of Full-Thickness Nasal Alar Defect." Dermatologic Surgery 29, no. 1 (January 2003): 89–91. http://dx.doi.org/10.1046/j.1524-4725.2003.29021.x.

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46

Jayarajan, Rajshree. "A Combination Flap for Nasal Defect Reconstruction." Annals of Plastic Surgery 81, no. 4 (October 2018): 427–32. http://dx.doi.org/10.1097/sap.0000000000001483.

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47

Weyer, Christopher, Nathalie C. Zeitouni, and J. Ryan Jackson. "Three-Staged Reconstruction of a Nasal Defect." Dermatologic Surgery 44, no. 12 (December 2018): 1611–14. http://dx.doi.org/10.1097/dss.0000000000001487.

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48

Pollard, Whitney L., Yang Xia, and Michael Sorace. "Repair of a Large Glabellar/Nasal Defect." Dermatologic Surgery 45, no. 12 (December 2019): 1673–76. http://dx.doi.org/10.1097/dss.0000000000001734.

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49

Williams, Ramone F., Adam J. Tinklepaugh, Tiffany J. Libby, and David H. Ciocon. "Reconstruction of a Full-Thickness Nasal Defect." Dermatologic Surgery 46, no. 6 (June 2020): 833–36. http://dx.doi.org/10.1097/dss.0000000000001857.

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50

Hussain, Walayat. "A Challenging Defect of the Nasal Ala." Dermatologic Surgery 45, no. 12 (December 2019): 1689–92. http://dx.doi.org/10.1097/dss.0000000000001982.

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