Repairing partial nasal defect with different strategies

Abstract

Objective Proper selection of reconstruction method is the key point to get a successful result in nasal reconstruction. The purpose of the article is to evaluate the results of repairing the partial nasal defect with different surgical strategies. Methods Different surgical methods were used according to the area and type of nasal defects of nasal defects, the different sub-unit of nasal defects and the different tissue damage levels. Local skin flaps, auricular composite tissue flaps, nasolabial skin flaps and superficial temporal artery pedicle flaps were used in these patients. Results 23 cases suffering from partial nasal defects were repaired with flaps or tissue graft, including 4 auricular composite tissue flap, 5 nasolabial skin flap, 3 forehead island flap with a pedicle of superficial temporal vessels, 7 local flap, and 1 skin graft. After 5-16 months of follow-up, the color and texture around the nose were basically consistent, the appearance of nose was satisfactory, and the postoperative effect turned out fine. Conclusions The method of surgical reconstruction of partial nasal defects should be considered carefully according to the area of nasal defects, sub-unit of nasal defects and the different tissue damage levels. Key words: Nasal defect; Reconstruction; Flap