Single-stage nasolabial interpolation flap for reconstructing defects of the nose and inner corner of the eye
Introduction: Interpolation flaps are effective surgical options for reconstructing skin defects in various areas of the body, including the face. The proposed flap does not require postoperative care with the pedicle exposed and can be performed in a single surgery. Objective: To evalua...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2019-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2652/en_v34n3a10.pdf |
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| author | Jefferson Di Lamartine Galdino Amaral Ronan Caputi Silva Dias Amanda Costa Campos Rafael Sabino Caetano Costa Suellen Vieira Da-Silva Anderson de Azevedo Damasio Juldásio Galdino de Oliveira Júnior José Carlos Daher |
| author_facet | Jefferson Di Lamartine Galdino Amaral Ronan Caputi Silva Dias Amanda Costa Campos Rafael Sabino Caetano Costa Suellen Vieira Da-Silva Anderson de Azevedo Damasio Juldásio Galdino de Oliveira Júnior José Carlos Daher |
| author_sort | Jefferson Di Lamartine Galdino Amaral |
| collection | DOAJ |
| description | Introduction: Interpolation flaps are effective surgical options for reconstructing skin defects in various areas of the body, including the face. The proposed flap does not require postoperative care with the pedicle exposed and can be performed in a single surgery.
Objective: To evaluate the usefulness of the nasolabial interpolation island flap (NIF) for reconstructing nasal segments and the inner corner of the eye, as well as discuss improvements in its design and performance.
Methods: In this retrospective study, medical records of patients with nasal defects that were repaired with a nasolabial interpolation flap were reviewed. All flaps were created with a subcutaneous tunnel to avoid pedicle exposure and prevent scar connection with the donor area and the defect. Results: Five patients aged 30-92 years were included. In all cases, intraoperative frozen biopsy revealed disease-free margins, indicating the extent of the resection. Basal cell carcinoma was found in four patients and squamous cell carcinoma in one. There were no complications such as postoperative bleeding or necrosis. Good functional and aesthetic results were achieved. Discussion: The NIF can help in the reconstruction of extensive defects of the nasal ala, tip, columella, and medial dorsum as well as the corner of the eye. We also highlight the more favorable aesthetic aspect of the pedicle in the interpolation island versus transposition flap.
Conclusion: The single-stage NIF flap is a reliable option for reconstructing facial segments as it has good vascularization, can be performed in a single surgery, and can be used to cover places where few other reconstructive options are available. |
| format | Article |
| id | doaj-art-251d31293bfa4ecf96e1fbc5e4f99a18 |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-251d31293bfa4ecf96e1fbc5e4f99a182025-08-20T03:58:07ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352019-09-01340336236710.5935/2177-1235.2019RBCP0209Single-stage nasolabial interpolation flap for reconstructing defects of the nose and inner corner of the eyeJefferson Di Lamartine Galdino Amaral0Ronan Caputi Silva Dias1Amanda Costa Campos2Rafael Sabino Caetano Costa3Suellen Vieira Da-Silva4Anderson de Azevedo Damasio5Juldásio Galdino de Oliveira Júnior6José Carlos Daher7Hospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilIntroduction: Interpolation flaps are effective surgical options for reconstructing skin defects in various areas of the body, including the face. The proposed flap does not require postoperative care with the pedicle exposed and can be performed in a single surgery. Objective: To evaluate the usefulness of the nasolabial interpolation island flap (NIF) for reconstructing nasal segments and the inner corner of the eye, as well as discuss improvements in its design and performance. Methods: In this retrospective study, medical records of patients with nasal defects that were repaired with a nasolabial interpolation flap were reviewed. All flaps were created with a subcutaneous tunnel to avoid pedicle exposure and prevent scar connection with the donor area and the defect. Results: Five patients aged 30-92 years were included. In all cases, intraoperative frozen biopsy revealed disease-free margins, indicating the extent of the resection. Basal cell carcinoma was found in four patients and squamous cell carcinoma in one. There were no complications such as postoperative bleeding or necrosis. Good functional and aesthetic results were achieved. Discussion: The NIF can help in the reconstruction of extensive defects of the nasal ala, tip, columella, and medial dorsum as well as the corner of the eye. We also highlight the more favorable aesthetic aspect of the pedicle in the interpolation island versus transposition flap. Conclusion: The single-stage NIF flap is a reliable option for reconstructing facial segments as it has good vascularization, can be performed in a single surgery, and can be used to cover places where few other reconstructive options are available.http://www.rbcp.org.br/export-pdf/2652/en_v34n3a10.pdffacesurgical flapsskin diseasesskinnosenose deformitiesacquirednose diseaseseye socket |
| spellingShingle | Jefferson Di Lamartine Galdino Amaral Ronan Caputi Silva Dias Amanda Costa Campos Rafael Sabino Caetano Costa Suellen Vieira Da-Silva Anderson de Azevedo Damasio Juldásio Galdino de Oliveira Júnior José Carlos Daher Single-stage nasolabial interpolation flap for reconstructing defects of the nose and inner corner of the eye Revista Brasileira de Cirurgia Plástica face surgical flaps skin diseases skin nose nose deformities acquired nose diseases eye socket |
| title | Single-stage nasolabial interpolation flap for
reconstructing defects of the nose and inner corner
of the eye |
| title_full | Single-stage nasolabial interpolation flap for
reconstructing defects of the nose and inner corner
of the eye |
| title_fullStr | Single-stage nasolabial interpolation flap for
reconstructing defects of the nose and inner corner
of the eye |
| title_full_unstemmed | Single-stage nasolabial interpolation flap for
reconstructing defects of the nose and inner corner
of the eye |
| title_short | Single-stage nasolabial interpolation flap for
reconstructing defects of the nose and inner corner
of the eye |
| title_sort | single stage nasolabial interpolation flap for reconstructing defects of the nose and inner corner of the eye |
| topic | face surgical flaps skin diseases skin nose nose deformities acquired nose diseases eye socket |
| url | http://www.rbcp.org.br/export-pdf/2652/en_v34n3a10.pdf |
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