Reconstruction of the nasal infratip, columella, and soft triangle.

Dermatol Surg

Division of Dermatology, Fletcher Allen Health Care, University of Vermont College of Medicine, Burlington, Vermont.

Published: September 2014

AI Article Synopsis

  • Tumors in the soft triangle and distal nose create complex defects that require careful reconstruction due to the area's intricate anatomy.
  • A variety of reconstruction methods are discussed, including skin grafts, composite grafts, and various flap techniques, emphasizing meticulous planning and execution.
  • Successful outcomes in reconstructing this delicate region depend on a deep understanding of anatomy, thorough planning, and advanced surgical skills, often using cartilage grafts for support.

Article Abstract

Background: Tumors of the soft triangle and distal nose are common, and the wounds created when removing them are among the more challenging defects to repair.

Objective: Reconstruction of the soft triangle, infratip, and columella requires attention to form and function beyond what is usually needed in cutaneous surgery. The complexities of the anatomy demand meticulous planning and surgical execution. In this review, the goal is to provide the cutaneous surgeon with a logical approach to repair this challenging region.

Methods: Skin grafts, composite grafts, local flaps, and pedicle flaps are presented with pearls and pointers. Cartilage grafting for stability is reviewed and detailed. A step-by-step approach allows the surgeon to plan appropriately and execute repairs with excellence.

Results: Ten cases are reviewed in sequential photo format to demonstrate successful reconstruction of operative wounds from this challenging region of the nose.

Conclusion: The most distal nasal contours pose many challenges for reconstruction. Success depends on a good knowledge of anatomy, rigorous planning, and superior surgical skills. Skin grafts, composite grafts, local and interpolated flaps are all options that need to be considered when recreating the delicate folds and contours of this region. Cartilage support may be needed to maintain structural integrity. With care, excellent outcomes are predictably achieved.

Download full-text PDF

Source
http://dx.doi.org/10.1097/DSS.0000000000000110DOI Listing

Publication Analysis

Top Keywords

soft triangle
12
infratip columella
8
skin grafts
8
grafts composite
8
composite grafts
8
grafts local
8
reconstruction
4
reconstruction nasal
4
nasal infratip
4
columella soft
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!