Nasal Alar Full-Thickness Defects as Reconstructed by Folded Nasolabial Flap.

Ahmed Mohammed,Nasser Z,Ahmed Abdullah

doi:10.21608/mjmr.2022.221926

Abstract

Nasal Alar Full-Thickness Defects as Reconstructed by Folded Nasolabial Flap.

Highlights

One of the oldest classic methods used in nasal alar reconstructions is the nasolabial flap
Inclusion criteria: Age: 4-70 years old, Gender: males & females (7:3), Unilateral full thickness alar defects, Post ablative and post traumatic alar defects, Defect dimensions between (2-4 cm) Exclusion criteria: Non full thickness defects, Pathology in nasolabial region interfering with flap harvesting, Previous local flaps in the area, Bilateral alar defects, Patients below the age of 4 years, Patients above the age of 70 years, Post inflammatory defects, Defects less than 2 cm and more than 4cm Flap Design: First we measure the potential defect size and its depth
There was 7 male (70%) and 3 females (30%), Six of them were smokers and 3 were diabetics

Summary

Introduction

The reconstruction of full-thickness alar wounds often requires multiple challenging surgical procedures. These procedures, often functionally and aesthetically successful, are often staged, and they 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. 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. Since its first use in nasal reconstructions, various modifications of this flap have been reported like to be applied in folded or non-folded forms. (Durgun et al, 2015)

Methods

Results

Conclusion