Background: The repair of alar defects is challenging in clinics. Although skin grafts and nasolabial flaps are reliable, they can cause secondary post-surgical deformities.Methods: In this report, we describe an alar...Background: The repair of alar defects is challenging in clinics. Although skin grafts and nasolabial flaps are reliable, they can cause secondary post-surgical deformities.Methods: In this report, we describe an alar spiral advancement flap with a subcutaneous pedicle combined with postoperative nasal stent therapy for the repair of alar defects.Results: All cases showed slight asymmetry immediately after surgery, but at a median follow-up of 24 months, no cases of dissatisfaction with the nose shape or abnormal respiratory function were found. Almost all incision scars subsided within 12 months. In addition, all flaps that were dissected and rotated during the surgeries healed, and no signs of necrosis or development of vascular compromise were observed.Conclusion: Our preliminary experience suggests that the alar spiral flap followed by nasal stent therapy provides stable recovery of appearance and function for alar defects during follow-ups and shows promise for future therapies.展开更多
Eleven cases of nasal wing defect have been repaired with good results by reversing andsuturing the skin and subcutaneous tissue around the nasal wing defect to serve as a lining,andcovering the raw surface with a fre...Eleven cases of nasal wing defect have been repaired with good results by reversing andsuturing the skin and subcutaneous tissue around the nasal wing defect to serve as a lining,andcovering the raw surface with a free composite graft harvested from the dorsal side of the auricle.This method is preferable to repair larger defects of alae nasi.展开更多
基金supported by the National Natural Science Foundation of China(grant nos.81701901 and 81801946)Natural Science Foundation of Shanghai Committee of Science and Technology(grant no.19ZR1430100)Shanghai Municipal Key Clinical Specialty(grant no.shslczdzk00901)。
文摘Background: The repair of alar defects is challenging in clinics. Although skin grafts and nasolabial flaps are reliable, they can cause secondary post-surgical deformities.Methods: In this report, we describe an alar spiral advancement flap with a subcutaneous pedicle combined with postoperative nasal stent therapy for the repair of alar defects.Results: All cases showed slight asymmetry immediately after surgery, but at a median follow-up of 24 months, no cases of dissatisfaction with the nose shape or abnormal respiratory function were found. Almost all incision scars subsided within 12 months. In addition, all flaps that were dissected and rotated during the surgeries healed, and no signs of necrosis or development of vascular compromise were observed.Conclusion: Our preliminary experience suggests that the alar spiral flap followed by nasal stent therapy provides stable recovery of appearance and function for alar defects during follow-ups and shows promise for future therapies.
文摘Eleven cases of nasal wing defect have been repaired with good results by reversing andsuturing the skin and subcutaneous tissue around the nasal wing defect to serve as a lining,andcovering the raw surface with a free composite graft harvested from the dorsal side of the auricle.This method is preferable to repair larger defects of alae nasi.
