| Title: |
The Nasolabial Flap in Nose Reconstruction: Tips and Tricks Towards Expanded Usage and Optimized Cosmesis |
| Authors: |
Cozzi S.; Codazzi D.; Cherubino M.; Valdatta L.; Carminati M. |
| Contributors: |
Cozzi, S.; Codazzi, D.; Cherubino, M.; Valdatta, L.; Carminati, M. |
| Publication Year: |
2023 |
| Collection: |
IRInSubria - Institutional Repository Insubria (Università degli Studi dell’Insubria) |
| Subject Terms: |
nasolabial flap; melolabial flap; nasal defect; nose reconstruction; alar reconstruction; skin cancer |
| Description: |
Background: 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. Methods: The authors analysed all surgical records of patients undergone nasal reconstruction by nasolabial flap between May 2005 and December 2021 by the Plastic Surgery Unit of a major regional hospital in Lombardy. Defects were classified according to Burget's subunit principle and the 3-component approach. Reconstruction features and finesses were reported and analysed. Results: In the 16-year period under analysis, 378 patients with nasal defects of various aetiologies received nose reconstruction by nasolabial flap. All nasal subunits were involved; 20 patients had multisubunit defects. In all the cases the reconstruction with nasolabial flap, alone or combined with other solutions, was intended to be one-stage. Conclusions: The authors present several tips and tricks about preoperative planning and design, choice of the pedicle, flap harvesting and sculpting with preservation/restoration of grooves and convexities, conjoining multiple flaps, downsizing extensive defects by a rhinoplasty-like framework reduction. With a careful planning and refined technique, the range of application of the nasolabial flap can include defects involving any nasal subunit and larger and/or multisubunit defects. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/wos/WOS:000963791100001; volume:0; issue:0; firstpage:229255032311674; journal:PLASTIC SURGERY; https://hdl.handle.net/11383/2157551 |
| DOI: |
10.1177/22925503231167445 |
| Availability: |
https://hdl.handle.net/11383/2157551; https://doi.org/10.1177/22925503231167445 |
| Accession Number: |
edsbas.9F7BE49C |
| Database: |
BASE |