Background: Full-thickness defects of the nasal ala necessitate composite repair of the nasal lining, cartilage and soft tissue envelope. Repair of the nasal lining is particularly challenging due to access and geometry of this area.
Objective: To evaluate the melolabial flap as a single stage operation for repair of full-thickness nasal ala defects.
Methods: Retrospective study of seven adult patients with full-thickness nasal ala defects who underwent melolabial flap repair. Complications and operative technique were recorded and described.
Results: Of the seven patients who underwent melolabial flap repair, each had excellent coverage of the defect postoperatively. There were two cases of mild ipsilateral congestion, and no revision procedures performed.
Conclusion: The melolabial flap is a versatile reconstructive option for repair of the internal lining of the nasal ala, and in our series there were no significant complications or revision procedures performed.
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http://dx.doi.org/10.1016/j.amjoto.2023.103804 | DOI Listing |
Dermatol Surg
October 2024
All authors are affiliated with the Department of Dermatology, Oregon Health and Science University, Portland, Oregon.
Background: The melolabial interpolation flap is an effective surgical technique for reconstructing defects in the nasal ala and tip regions. Traditionally, this technique involves waiting for the standard 3-week period before pedicle division.
Objective: To evaluate whether accelerated takedown at 1- or 2-week postflap creation is possible while maintaining the flap's viability and functionality.
Craniomaxillofac Trauma Reconstr
May 2024
Department of Otolaryngology - Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Study Design: Retrospective cohort study.
Objective: To determine patient, defect, and surgical factors associated with facial reconstructive outcomes.
Methods: Post-Mohs Micrographic Surgery (MMS) facial reconstructions performed at a single institution between 2015-2020 were reviewed.
Plast Surg (Oakv)
November 2024
Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
The nose is the most critical aesthetic element of the face and even the smallest loss of substance can create a deformity of concern. The forehead flap has been the workhorse for nasal reconstruction for centuries but requires multiple surgical steps and leads to prominent donor-site scarring. The nasolabial flap allows a single-step reconstruction with a donor-site scar concealed in the nasolabial crease but is conventionally designated for small defects involving the ala.
View Article and Find Full Text PDFCureus
August 2024
Medicine, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.
Rambam Maimonides Med J
July 2024
Department of Head and Neck Surgical Oncology, Tata Memorial Centre, ACTREC, HOMI Bhabha National Institute (HBNI), Mumbai, India.
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